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{\"date\": \"2024-05-24 07:00:00\"}, \"7fc2ffb2-8dd8-458f-aa77-106ca3b15811\": [], \"953e7d07-c006-4b4a-bff3-cec2630ed233\": [2808], \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.cdc.gov/fungal/php/guidance-investigating-outbreaks/mold-healthcare.html?CDC_AAref_Val=https://www.cdc.gov/fungal/outbreaks/healthcare-associated-mold-outbreaks.html\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This page includes general information and frequently-asked questions pertaining to mold outbreaks in healthcare settings. 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This will show up in your downloads folder.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-09-23 17:32:25','2024-09-23 17:32:25','53de1936-47bd-49b2-bb34-d61c9bcbed47'),(49668,49302,1,NULL,NULL,NULL,NULL,1,'2024-09-23 17:32:25','2024-09-23 17:32:25','66f6980c-9984-4942-8b86-449ce0f8a1d8'),(49669,49303,1,NULL,'__temp_jcisbucfobtbrsxklslksuunzubpgusvdqya',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Patient Notification About Suspected Hospital-Associated Outbreaks of Invasive Mold Infections: Considerations for Public Health and Hospital Personnel\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-05-24 07:00:00\"}, \"7fc2ffb2-8dd8-458f-aa77-106ca3b15811\": [], \"953e7d07-c006-4b4a-bff3-cec2630ed233\": [2808], \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://pubmed.ncbi.nlm.nih.gov/34109919/\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This article addresses the intricacies and challenges of making 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\"https://www.ajicjournal.org/article/S0196-6553(22)00544-2/abstract\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This article includes checklists for assessing facility linen management practices.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-09-23 17:32:25','2024-09-23 17:32:25','3e326715-faf6-4383-be46-e3c6b12fa3dc'),(49674,49308,1,NULL,NULL,NULL,NULL,1,'2024-09-23 17:32:25','2024-09-23 17:32:25','2db32cff-60af-4e98-8160-ae1b480b7071'),(49675,49309,1,NULL,'__temp_dkgppqqxuzgnomvsrkycdgzctcnofsncxcgx',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Candida auris Resources\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-05-28 07:00:00\"}, \"7fc2ffb2-8dd8-458f-aa77-106ca3b15811\": [], \"953e7d07-c006-4b4a-bff3-cec2630ed233\": [2716], \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.corha.org/diseases-pathogens/c-auris\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"Visit this CORHA resource page if 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\"descriptionRaw\": \"\"}}',1,'2024-09-23 17:55:58','2024-09-23 17:55:58','57ff5990-3110-4471-9aa8-099b3ab4a222'),(49705,49338,1,NULL,NULL,NULL,NULL,1,'2024-09-23 17:55:59','2024-09-23 17:55:59','ac96e020-481a-4cb9-a8fd-022371b52b94'),(49706,49339,1,NULL,'__temp_eghzzegqoautvdvwieuyxwvhckymfohexgkz',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": true, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Public Health Considerations for Healthcare-associated Cases and Outbreaks of Legionnaires’ disease\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-05-28 07:00:00\"}, \"7fc2ffb2-8dd8-458f-aa77-106ca3b15811\": [], \"953e7d07-c006-4b4a-bff3-cec2630ed233\": [2808], \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.cdc.gov/investigate-legionella/php/healthcare-resources/index.html\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"This website provides guidance for responding to healthcare-associated cases and outbreaks of Legionnaires’ disease, including: an outline of investigation steps; information on case finding, environmental assessment, and immediate control measures; and communications resources.\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-09-23 17:55:59','2024-09-23 17:55:59','b982b51b-28d7-4a73-be41-863670ae6e06'),(49707,49340,1,NULL,NULL,NULL,NULL,1,'2024-09-23 17:55:59','2024-09-23 17:55:59','df521476-a465-4d00-84ce-2103ad03c924'),(49708,49341,1,NULL,'__temp_vyaplsbwlgporyyvxmqihqeuhslddoqtzavw',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"CDC Vital Signs, June 2017: Legionnaires’ Disease, a Problem for Healthcare Facilities\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-05-28 07:00:00\"}, \"7fc2ffb2-8dd8-458f-aa77-106ca3b15811\": [], \"953e7d07-c006-4b4a-bff3-cec2630ed233\": [2808], \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://www.cdc.gov/vitalsigns/pdf/2017-06-vitalsigns.pdf\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-09-23 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17:55:59','e4738bd6-4b42-4c30-bc4b-2f713ecf83c6'),(49711,49344,1,NULL,NULL,NULL,NULL,1,'2024-09-23 17:55:59','2024-09-23 17:55:59','093c5433-7cfe-4308-9414-bfe6c28f4646'),(49712,49345,1,NULL,'__temp_zfrirbwzvzjbooewrasjyqdteqgsbwmpstwv',NULL,'{\"0b7e4dc2-d30e-430c-b1ae-8b2049ebb012\": false, \"1b8a06bc-592e-405a-95f0-448e5a7207f9\": \"Example of patient notification: Legionella outbreak in a general medicine ward\", \"3b4f9fb0-6aaf-45c4-8857-4016b8e61d5e\": {\"date\": \"2024-05-28 07:00:00\"}, \"7fc2ffb2-8dd8-458f-aa77-106ca3b15811\": [], \"953e7d07-c006-4b4a-bff3-cec2630ed233\": [2716], \"b94b64c8-6724-4663-a7a4-381dc658d14d\": \"https://corha.org/assets/documents/CORHA-PP-Chapter-8-1.pdf\", \"da987605-91d6-41ef-a67b-639e071b34fe\": \"See page 32, Box 8.3 for this example\", \"f0c02666-8b3e-4971-b7be-fcb0d63d202e\": true}',1,'2024-09-23 17:55:59','2024-09-23 17:55:59','c597b1a4-cd0d-4860-815d-67a89b23da47'),(49713,49346,1,NULL,NULL,NULL,NULL,1,'2024-09-23 17:55:59','2024-09-23 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{\"twitter\": {\"title\": [], \"handle\": \"\", \"imageId\": null, \"description\": []}, \"facebook\": {\"title\": [], \"handle\": \"\", \"imageId\": null, \"description\": []}}, \"advanced\": {\"robots\": [], \"canonical\": null}, \"keywords\": [], \"titleRaw\": [], \"descriptionRaw\": \"\"}}',1,'2024-09-23 18:54:07','2024-09-23 18:54:07','6ecb82b8-efec-4d40-9983-2ac53b130100'),(49864,49491,1,NULL,NULL,NULL,'{\"46f8fcfe-c756-437a-ab02-62c34cb70433\": \"CDC/ARFC\", \"d327c84a-a0ba-403a-932c-9a807624e3ef\": {\"date\": \"2020-11-17 23:04:09\"}, \"f9e1c7bb-0351-432a-beb2-a1562d8f7e7e\": \"https://antimicrobialresistancefighters.org/webinars\"}',1,'2024-09-23 18:54:07','2024-09-23 18:54:07','743e6ceb-6f2a-426d-b893-feb720f12edc'),(49866,49493,1,'Importance of Data Sharing and Reporting: A Conversation with CORHA’s Policy Workgroup 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However, data sharing between state, local and private health entities is not without challenges. </p><p>Data sharing and reporting outbreaks of healthcare-associated infections (HAIs) is one of the most pressing issues. The success of this type of outbreak response hinges on access to accurate, timely data. While technology limitations represent some challenges, like data system access for public health professionals and system interoperability, other challenges are administrative like dedicating resources for up-to-date data systems and informatics and having access to staff with informatics expertise. Any solutions must also carefully balance public awareness and patient confidentiality. </p><p>Even if challenges in accessing and using available electronic health information are overcome, gaps in collecting or reporting data between health departments and local healthcare organizations may still exist. For instance, demographic data that could identify populations disproportionately impacted by HAI outbreaks and individual cases of antimicrobial resistance (AR) are not collected consistently, posing a challenge to understanding health inequities. </p><p>Manually sharing reports between healthcare organizations and public health can further strain thinly stretched healthcare staff. The best time to work through technical issues and reporting inconsistencies is prior to an outbreak incident. It is integral to effective outbreak response efforts. Some ways to work through challenges include establishing data dictionaries, checking data system interoperability, mandating reporting perimeters, and standardizing data. </p><p><a href=\\\"https://www.corha.org/collaborative-workgroups\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">CORHA’s Policy Workgroup</a> aims to advocate for and establish more transparency related to data collection and reporting. We recognize that accomplishing this goal requires additional guidance, resources, and buy-in from leadership across public health and healthcare. Given the variations from state to state in public health data sharing rules, national-level mandates and public health law advocacy may also be necessary to address this challenge. </p><p>The CORHA Policy Workgroup continues to develop resources on public data sharing and reporting of HAI/AR outbreaks with the goal of balancing public data sharing and the protection of patient confidentiality. The following CORHA resources can be used to inform policies and legal frameworks for outbreak reporting, investigation, notification, and disclosure: </p><ul style=\\\"list-style-type:disc;\\\"><li><a href=\\\"https://corha.org/assets/documents/Framework-for-HAI-Outbreak-Notification.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">Framework for HAI Outbreak Notification</a> </li><li><a href=\\\"https://corha.org/assets/documents/HAI-Patient-Notification-Framework-one-pager_Oct-2023.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">Framework for HAI Outbreak Notification One-Pager </a></li><li><a href=\\\"{entry:9266@1:url||https://corha.org/chapters/outbreak-detection-reporting}\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">Principles &amp; Practices Chapter 4: Outbreak Detection and Reporting</a> </li><li><a href=\\\"{entry:9513@1:url||https://corha.org/chapters/notification-communication}\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">Principles &amp; Practices Chapter 8: Notification and Communication</a> </li></ul>\", \"acf2caae-0773-4eb2-bb10-57a01b19e200\": \"Moon Kim, MD, MPH, Dawn Terashita, MD, MPH, & Jaclyn Abramson, MPH\", \"ccabfff6-2908-407e-98d3-a22686d82840\": {\"score\": \"neutral\", \"social\": {\"twitter\": {\"title\": [], \"handle\": \"\", \"imageId\": null, \"description\": []}, \"facebook\": {\"title\": [], \"handle\": \"\", \"imageId\": null, \"description\": []}}, \"advanced\": {\"robots\": [], \"canonical\": null}, \"keywords\": [], \"titleRaw\": [], \"descriptionRaw\": \"\"}, \"dd06f1a1-3c4f-4001-adc3-f3c0a94550ac\": [1558], \"f88904a1-7870-468f-8885-f14ce93db364\": []}',1,'2024-09-23 18:58:28','2024-09-23 18:58:28','7a19a880-842f-4723-845d-38f42c52aafb'),(49867,49494,1,NULL,'__temp_suiqsbumleypaljbnqpylqrkgqsngzonrrmy',NULL,'{\"b691f1c7-ad7d-4a8b-a9fa-b4feec58e073\": []}',1,'2024-09-23 18:58:28','2024-09-23 18:58:28','af4e2066-9af1-4f83-bb6f-50ea146dc5ca'),(49869,49496,1,'November 2023 Fall Meeting Recap','november-2023-fall-meeting-recap','news/november-2023-fall-meeting-recap','{\"84a051cd-1f3d-42ba-be23-26f3f9856933\": \"<p>CORHA members and partners convened in Atlanta, GA for the annual hybrid CORHA Fall Meeting. Council members engaged in two days of meeting discussions that ranged from data modernization and sharing of HAI/AR data, detection and response for respiratory viruses, and robust breakout sessions from CORHA’s three <a href=\\\"{entry:3400@1:url||https://corha.org/collaborative-workgroups}\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">workgroups</a>. In addition, Council members were briefed on updates to the <a href=\\\"{entry:8535@1:url||https://corha.org/principles-practices-for-outbreak-response}\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">CORHA Principles and Practices for Healthcare Outbreak Response</a> chapters and other products, such as a <a href=\\\"https://corha.org/assets/documents/HAI-Patient-Notification-Framework-one-pager_Oct-2023.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">one-pager</a> to accompany the <a href=\\\"https://corha.org/assets/documents/Framework-for-HAI-Outbreak-Notification.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">Framework for Healthcare-Associated Infection Outbreak Notification</a> document.</p><p>The Council also analyzed the <a href=\\\"{entry:3542@1:url||https://corha.org/corha-strategic-map}\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">strategic map</a> and considered key strategies for CORHA to achieve its <a href=\\\"{entry:2054@1:url||https://corha.org/about-corha}\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">mission, vision, and goals</a>. The primary strategies discussed were (1) review pertinent policies and guidance documents issued by CORHA’s member organizations to ensure they meet the needs of the Council’s stakeholders, and (2) raise awareness amongst policymakers and the public to support HAI/AR outbreak response. In response to these areas of focus, members discussed how CORHA will continue to engage with and identify member organization needs, set priorities, and explore ways to review and disseminate new guidance documents. Members also agreed that endorsement by CORHA is highly valued, and opportunities for CORHA to provide such endorsements and aggregate multidisciplinary feedback will be explored. Addressing the second strategy, members identified that CORHA can collaborate with state health departments for surveillance and data reports, using storytelling and other methods to make data more widely accessible. Finally, leveraging member organizations’ social media for increased CORHA visibility, proactively preparing materials in advance of outbreaks, and rethinking data sharing are other key strategies to further the goals of the Council.</p><figure class=\\\"image\\\"><img src=\\\"{asset:43855:url||/assets/images/Picture1-1-1.jpg}\\\" alt=\\\"2023 CORHA Fall Meeting Attendees\\\" width=\\\"800\\\" height=\\\"450\\\" /></figure><p><i>                                                                                      2023 CORHA Fall Meeting Attendees</i></p><p>Priority areas for CORHA members are efforts to enhance awareness of CORHA’s goals and objectives among policymakers, the public, and both public health and healthcare professionals. Council members also strive to increase the utilization of genomic data in outbreak scenarios, enhance public sharing of outbreak information, and address gaps in respiratory illnesses, multidrug-resistant organisms, and outbreaks of non-reportable conditions. Future activities also involve updating existing guidance, such as transforming influenza and COVID-19 guidance into universal respiratory infection guidance.</p><p>As CORHA heads into 2024, the Council will begin working on drafting a new strategic map for 2025 onwards. Fall Meeting discussions will continue to be deepened and expanded upon through workgroup and governance committee activities. Workgroup and Council-wide discussions will frame the direction of CORHA and inform ongoing and future activities to provide the most up-to-date resources to build, standardize, and improve HAI/AR outbreak detection, reporting, investigation, and control. To stay informed on CORHA activities, please continue reading the monthly <a href=\\\"https://naccho.realmagnet.land/corha-correspondence-newsletter\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">CORHA Correspondence</a> newsletter.</p>\", \"acf2caae-0773-4eb2-bb10-57a01b19e200\": \"Grace Lee, MPH\", \"ccabfff6-2908-407e-98d3-a22686d82840\": {\"score\": \"neutral\", \"social\": {\"twitter\": {\"title\": [], \"handle\": \"\", \"imageId\": null, \"description\": []}, \"facebook\": {\"title\": [], \"handle\": \"\", \"imageId\": null, \"description\": []}}, \"advanced\": {\"robots\": [], \"canonical\": null}, \"keywords\": [], \"titleRaw\": [], \"descriptionRaw\": \"\"}, \"dd06f1a1-3c4f-4001-adc3-f3c0a94550ac\": [1558], \"f88904a1-7870-468f-8885-f14ce93db364\": []}',1,'2024-09-23 19:01:36','2024-09-23 19:01:36','f0d9eb23-5f91-4cb2-b581-a70a51a9b501'),(49870,49497,1,NULL,'__temp_psvfiyzokncevcbyvgspvvhbbwykkibaezoq',NULL,'{\"b691f1c7-ad7d-4a8b-a9fa-b4feec58e073\": []}',1,'2024-09-23 19:01:36','2024-09-23 19:01:36','be714ed8-4696-4709-9f22-96345522033b'),(49872,49499,1,'Jennifer Jones, 2023 McKnight Prize for Healthcare Outbreak Heroes Recipient','jennifer-jones-2023-mcknight-prize-for-healthcare-outbreak-heroes-recipient','news/jennifer-jones-2023-mcknight-prize-for-healthcare-outbreak-heroes-recipient','{\"84a051cd-1f3d-42ba-be23-26f3f9856933\": \"<p>The Evelyn and Thomas McKnight Family Fund for Patient Safety and the CDC Foundation created the McKnight Healthcare Outbreak Heroes Prize to encourage and reward those who protect patients from harm related to healthcare outbreaks. We’re happy to introduce Jennifer Jones as the 2023 recipient of this prestigious award!</p><figure class=\\\"image\\\"><img src=\\\"{asset:1557:url||/assets/images/305fe57496acb9a1db30e7e0795e2bce.jpg}\\\" alt=\\\"Jennifer Jones\\\" width=\\\"200\\\" height=\\\"300\\\" /></figure><p><i>Jennifer Jones</i></p><p>Jennifer Jones, Senior Infection Preventionist at Helen DeVos Children’s Hospital, part of Corewell Health in Grand Rapids, Michigan is the recipient of the 2023 McKnight Prize for Healthcare Outbreak Heroes award for her outstanding response to a Methicillin-resistant Staphylococcus aureus (MRSA) outbreak in a Neonatal Intensive Care Unit.</p><p>In the Spring of 2022, the Helen DeVos Children’s Hospital’s Infection Prevention team, led by Jennifer, Senior Infection Preventionist, was monitoring hospital-acquired MRSA cases in their Neonatal Intensive Care Unit (NICU). The team identified an outbreak after observing a sudden uptick in MRSA bacteremia cases in a short period of time, prompting an investigation. The infection prevention team utilized their Outbreak Investigation Policy, referenced CDC &amp; APIC resources, and implemented mitigation strategies. Examples of these strategies included mandatory Call-to-Action sessions for all team members who enter the NICU, weekly MRSA screening of all admitted NICU babies, development of a decolonization protocol, and installation of additional hand sanitizer dispensers. Jennifer exemplified outstanding leadership, initiative, and personal commitment as part of a successful effort to protect newborns throughout this outbreak response. CORHA spoke with her about her lessons learned and keys to success.</p><p>Jennifer recognized that during this outbreak, good communication was essential for all stakeholders: parents, staff, leadership, the health department, and CDC. She organized weekly meetings to provide updates during the investigation that could be shared among their teams. Jennifer emphasized that navigating these conversations with partners during an HAI/AR outbreak response is always tough; however, when you provide data to support your rationale and response, it makes the conversations easier.</p><p>A success Jennifer shares is that her staff felt comfortable going to leadership and the infection prevention team with suggestions. For example, during their Call-to-Action sessions, staff felt empowered to notify the infection prevention team that gloves in all sizes were not easily accessible to provide care. Jennifer’s team went onsite with facility and bedside team members to see where they could install a place to house small, medium, and large gloves for staff use. This is just one example of open communication from over 40 suggestions that were provided to Jennifer’s team.</p><p>Sharing key messages with everyone who might enter the NICU space was a challenging and essential part of the outbreak response. Jennifer’s team rounded in the NICU frequently to conduct knowledge surveys (and, of course, hand out candy). This helped them evaluate whether their messaging was reaching the care team and provide real-time observations and feedback. The following is a key insight Jennifer gained while leading the outbreak response:</p><p> </p><blockquote><p><i>“Get out there and observe what is truly happening and partner with the care team so it doesn’t seem punitive. Walk alongside them in all phases of an outbreak scenario so it remains a partnership between the care team and infection prevention team.”</i></p></blockquote><p> </p><p>We applaud Jennifer for her leadership, dedication and initiative to ensure a well-coordinated and successful outbreak response.</p><p>To view resources to help your team on patient notification, check out <a href=\\\"{entry:45958@1:url||https://corha.org/tools/patient-notification}\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">CORHA’s Patient Notification page</a> which includes our <a href=\\\"https://corha.org/assets/documents/Framework-for-HAI-Outbreak-Notification.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">Framework for Healthcare-Associated Infection Outbreak Notification</a>. There, you’ll find advice for timely and transparent communication when faced with your next outbreak response.</p><p><a href=\\\"{entry:2001@1:url||https://corha.org/news}\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">Click here</a> to read more featured stories as part of the Spotlight Series that highlight the successes and challenges experienced on the local, state, and national levels when responding to and managing HAI/AR outbreaks across the healthcare continuum.</p>\", \"acf2caae-0773-4eb2-bb10-57a01b19e200\": \"Jaclyn Abramson, MPH\", \"ccabfff6-2908-407e-98d3-a22686d82840\": {\"score\": \"neutral\", \"social\": {\"twitter\": {\"title\": [], \"handle\": \"\", \"imageId\": null, \"description\": []}, \"facebook\": {\"title\": [], \"handle\": \"\", \"imageId\": null, \"description\": []}}, \"advanced\": {\"robots\": [], \"canonical\": null}, \"keywords\": [], \"titleRaw\": [], \"descriptionRaw\": \"\"}, \"dd06f1a1-3c4f-4001-adc3-f3c0a94550ac\": [1558], \"f88904a1-7870-468f-8885-f14ce93db364\": []}',1,'2024-09-23 19:03:08','2024-09-23 19:03:08','0ae496bc-3775-4f7d-8168-e70db6288d81'),(49874,49501,1,'Leadership: Dr. Natasha Bagdasarian','leadership-dr-natasha-bagdasarian','news/leadership-dr-natasha-bagdasarian','{\"84a051cd-1f3d-42ba-be23-26f3f9856933\": \"<p>For almost 20 years, my <a href=\\\"{entry:2192@1:url||https://corha.org/leadership}\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">career</a> has focused on hospital epidemiology, infection prevention and control (IPC), and antimicrobial stewardship programs (ASP), so I am excited about joining this group of like-minded folks.</p><p>My blended international and state-level perspectives have helped me identify opportunities in IPC guidance, and to ponder ways health care and public health could work together. Now, more than ever, it is crucial to strengthen the relationships between public health and healthcare. Communication and relationship building are critical. CORHA is well positioned to assist this effort. For example, the Council brings public health and healthcare partners together to engage in dialogue about some of the most pressing issues facing us today, such as strengthening public health infrastructure, increasing trust in messaging and communication, building and deepening relationships with community members, and prioritizing health equity.</p><p>We are in a moment when outbreak and pandemic preparedness is experiencing greater visibility, and this is our opportunity to ask for the things public health needs: flexible funding, robust data infrastructure and workforce support. This is also a good time to communicate about what public health does and why this work is so important. In my new leadership role with CORHA, representing the Association of State and Territorial Health Officials, I will work on these initiatives and further the Council’s mission, vision, and goals of protecting patients from outbreaks.</p><p>I feel passionate about addressing the issues of health care-associated infections and antimicrobial resistance and improving outbreak preparedness at all levels—national, state, community. I look forward to meeting and working with others who share these interests with CORHA!</p><figure class=\\\"image\\\"><img src=\\\"{asset:45446:url||/assets/images/headshots/Dr_Natsha_Bagdasarian-1-214x300.jpg}\\\" alt=\\\"Natasha Bagdasarian\\\" width=\\\"214\\\" height=\\\"300\\\" /></figure><p><i>                                                                   Natasha Bagdasarian</i></p>\", \"acf2caae-0773-4eb2-bb10-57a01b19e200\": \"Natasha Bagdasarian, MD, MPH\", \"ccabfff6-2908-407e-98d3-a22686d82840\": {\"score\": \"neutral\", \"social\": {\"twitter\": {\"title\": [], \"handle\": \"\", \"imageId\": null, \"description\": []}, \"facebook\": {\"title\": [], \"handle\": \"\", \"imageId\": null, \"description\": []}}, \"advanced\": {\"robots\": [], \"canonical\": null}, \"keywords\": [], \"titleRaw\": [], \"descriptionRaw\": \"\"}, \"dd06f1a1-3c4f-4001-adc3-f3c0a94550ac\": [1558], \"f88904a1-7870-468f-8885-f14ce93db364\": []}',1,'2024-09-23 19:03:47','2024-09-23 19:03:47','efca5dbf-06af-432b-96e8-7ac2c813b141'),(49875,49502,1,NULL,'__temp_xhxhvdrvfbmsbbjxmskvohnaundrsrsmtwij',NULL,'{\"b691f1c7-ad7d-4a8b-a9fa-b4feec58e073\": []}',1,'2024-09-23 19:03:47','2024-09-23 19:03:47','9c06caa9-e091-4ddd-a25d-30991a64e293'),(49877,49504,1,'Lisa Hannah, 2022 McKnight Prize for Healthcare Outbreak Heroes Recipient','lisa-hannah-2022-mcknight-prize-for-healthcare-outbreak-heroes-recipient','news/lisa-hannah-2022-mcknight-prize-for-healthcare-outbreak-heroes-recipient','{\"84a051cd-1f3d-42ba-be23-26f3f9856933\": \"<p>The Evelyn and Thomas McKnight Family Fund for Patient Safety and the CDC Foundation created the McKnight Healthcare Outbreak Heroes Prize to encourage and recognize those who serve and protect patients from harm related to healthcare outbreaks. </p><figure class=\\\"image\\\"><img src=\\\"{asset:43834:url||/assets/images/Lisa-Hannah-276x300.jpg}\\\" alt=\\\"Lisa Hannah\\\" width=\\\"276\\\" height=\\\"300\\\" /></figure><p>                                                                           <i>               Lisa Hannah</i></p><p>Lisa Hannah, RN, CIC, is the Infection Prevention Team Supervisor at the Washington State Department of Health. Her infection prevention and control work during the ongoing COVID-19 pandemic and her dedication to serving rural counties across Washington state earned her the 2022 McKnight Prize for Healthcare Outbreak Heroes.</p><p>Hannah is a nursing consultant advisor in the Washington State Department of Health’s Office of Communicable Disease Epidemiology. In her role, she led 300 COVID-19 healthcare outbreak and infection prevention site visits across 70% of Washington state’s counties, many of them hard-hit rural areas. Hannah built a robust and multi-disciplinary HAI/AR team to offer support to healthcare facilities within 24 hours of notification of an outbreak. The team developed and implemented a workplace resiliency training program to provide resources for staff to avoid burnout and support work-life balance. The team also converted the manual Facility Outreach and Infection Control Assessment and Response tracking process into REDCap to collect real-time data to optimize response times and project development efforts. </p><p>Hannah also strengthened infection prevention and control by empowering healthcare facilities with training and educational resources. She expanded the infection preventionists’ (IP’s) capacity to include dialysis clinics, oncology clinics, dental and ambulatory settings, in addition to acute and long-term care.  </p><p>Hannah overcame many obstacles throughout the pandemic, including vague and shifting guidance, scarce PPE and testing resources, and the lack of electronic systems in place for tracking outreach and outbreak response.  </p><blockquote><p>“Observing the fear, sadness, anxiety, and other emotions of the healthcare workers was something I had not experienced as an IP before this. Working with the staff and administration left me feeling that most often the facilities were doing the best they could with the resources available to them. They were not prepared for this.”   </p></blockquote><p>Hannah credits her success to strong partnerships between local health departments (LHDs) and healthcare facilities, which were built on trust, transparency, and compassion. This allowed for more customized approaches to IPC. Hannah organized the IPs that were assigned to LHDs and the healthcare facilities within that area with the goal of providing consistent support and proactive guidance.  </p><p>Hannah believes the future of HAI/AR response includes strategically evaluating the need for outbreak response and IPC activities with proactive education and outreach. She also highlights the importance of emergency preparedness plans and drills, and maintaining access to fit testing resources, PPE, and testing supplies. </p><p>In recognizing both the progress and challenges faced by the public health community in recent years, Hannah hopes that CORHA’s outreach efforts can promote outbreak investigations in specialty settings, amplify CORHA resources, and increase IP confidence beyond COVID. </p><p><a href=\\\"{entry:8613@1:url||https://corha.org/pathogens-diseases}\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">Click here</a> to learn more about additional Resources and Products developed by CORHA.    </p>\", \"acf2caae-0773-4eb2-bb10-57a01b19e200\": \"Jaclyn Abramson, MPH\", \"ccabfff6-2908-407e-98d3-a22686d82840\": {\"score\": \"neutral\", \"social\": {\"twitter\": {\"title\": [], \"handle\": \"\", \"imageId\": null, \"description\": []}, \"facebook\": {\"title\": [], \"handle\": \"\", \"imageId\": null, \"description\": []}}, \"advanced\": {\"robots\": [], \"canonical\": null}, \"keywords\": [], \"titleRaw\": [], \"descriptionRaw\": \"\"}, \"dd06f1a1-3c4f-4001-adc3-f3c0a94550ac\": [1558], \"f88904a1-7870-468f-8885-f14ce93db364\": []}',1,'2024-09-23 19:05:11','2024-09-23 19:05:11','7b189e23-e6eb-42a7-b5b8-1f6a889ca0d3'),(49878,49505,1,NULL,'__temp_wfnsxmsbtumfzswbtpalzoikfuredgwpysmg',NULL,'{\"b691f1c7-ad7d-4a8b-a9fa-b4feec58e073\": []}',1,'2024-09-23 19:05:11','2024-09-23 19:05:11','aba22e19-2f8d-4676-a4ef-132f024ee973'),(49880,49507,1,'November 2022 Fall Meeting Recap','november-2022-fall-meeting-recap','news/november-2022-fall-meeting-recap','{\"84a051cd-1f3d-42ba-be23-26f3f9856933\": \"<p>In early November 2022, after almost three years of virtual meetings, council representatives and workgroup members convened in Atlanta, GA for the hybrid CORHA Fall Meeting. This two-day meeting consisted of robust discussions, informative presentations, and productive workgroup sessions aimed at improving healthcare-associated infections and antimicrobial resistance (HAI/AR) outbreak response. Meeting attendees discussed CORHA’s Strategic Map and reflected on their experiences leading the COVID-19 pandemic response, applying the successes and lessons learned from the response to CORHA’s goal of improving current and future HAI/AR outbreak response.</p><figure class=\\\"image\\\"><img src=\\\"{asset:43873:url||/assets/images/Fall-2022-Meeting-scaled.jpg}\\\" alt=\\\"CORHA Fall 2022 Meeting Attendees\\\" width=\\\"1200\\\" height=\\\"1200\\\" /></figure><p><i>                                                                                     CORHA Fall 2022 Meeting Attendees</i></p><p>The COVID-19 Pandemic significantly tested and strained our healthcare systems and public health professionals while illuminating the many challenges of responding to the outbreak. Meeting attendees noted that waterborne pathogens such as legionella, fungal infections such as <i>Candida auris</i> and other common respiratory viruses were pathogens of concern that can similarly test our healthcare outbreak response capacities<i>. </i>CORHA has proven to be a vital resource for both healthcare and public health professionals, as well as their leadership. Members and partners have utilized the newly updated <a href=\\\"https://corha.org/assets/documents/COVID-19-HC-Outbreak-Definition-Guidance_January-2024.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\"><i>Reporting Thresholds and Outbreak Definitions for COVID-19 in Healthcare Settings</i></a> document, as well as the CORHA Policy Workgroup’s <a href=\\\"https://corha.org/assets/documents/Framework-for-HAI-Outbreak-Notification.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\"><i>Framework for Healthcare-Associated Infection Outbreak Notification</i></a> document. CORHA is growing into a trusted resource by providing and packaging timely HAI/AR outbreak response guidance and recommendations. The Fall Meeting reinvigorated CORHA’s member organizations to not only update and refine existing products to reflect evolving needs, but also develop new resources and tools for future healthcare outbreaks.</p><p>Meeting discussions highlighted many opportunities to expand the reach and increase visibility of the Council’s work. First, member organization representatives discussed improving bi-directional communication and coordination between local, state, federal, and private sectors to promote and share the Council’s work. Additionally, attendees identified that CORHA would benefit from more strategic engagement with other organizations, such as hospital associations and licensing or accrediting agencies. Finally, members explored ideas such as developing one-pagers for CORHA products, establishing an ambassador program, and using social media as strategies for boosting engagement.</p><p>Discussions from the Fall Meeting will inform ongoing and future CORHA activities to provide the most up-to-date resources to build, standardize, and improve HAI/AR outbreak detection, reporting, investigation, and control. To stay informed on CORHA activities, please consider sharing relevant resources to your professional networks and communication channels. You are also encouraged to subscribe to the monthly <a href=\\\"https://naccho.realmagnet.land/corha-correspondence-newsletter\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">CORHA Correspondence newsletter</a> and submit <a href=\\\"{entry:1915@1:url||https://corha.org/contact-corha}\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">feedback</a> on CORHA products.</p>\", \"acf2caae-0773-4eb2-bb10-57a01b19e200\": \"Grace Lee, MPH\", \"ccabfff6-2908-407e-98d3-a22686d82840\": {\"score\": \"neutral\", \"social\": {\"twitter\": {\"title\": [], \"handle\": \"\", \"imageId\": null, \"description\": []}, \"facebook\": {\"title\": [], \"handle\": \"\", \"imageId\": null, \"description\": []}}, \"advanced\": {\"robots\": [], \"canonical\": null}, \"keywords\": [], \"titleRaw\": [], \"descriptionRaw\": \"\"}, \"dd06f1a1-3c4f-4001-adc3-f3c0a94550ac\": [1558], \"f88904a1-7870-468f-8885-f14ce93db364\": []}',1,'2024-09-23 19:07:14','2024-09-23 19:07:14','329aa1fb-8129-4888-b42b-0f8adca724bc'),(49881,49508,1,NULL,'__temp_dccinbxintydlpfsgvjdaygixbfhrqvsijmc',NULL,'{\"b691f1c7-ad7d-4a8b-a9fa-b4feec58e073\": []}',1,'2024-09-23 19:07:14','2024-09-23 19:07:14','1606f062-3d5b-4728-b7fd-40a07c0d987b'),(49883,49510,1,'Introducing CORHA’s Principles and Practices for Healthcare Outbreak Response and its Importance','introducing-corhas-principles-and-practices-for-healthcare-outbreak-response-and-its-importance','news/introducing-corhas-principles-and-practices-for-healthcare-outbreak-response-and-its-importance','{\"84a051cd-1f3d-42ba-be23-26f3f9856933\": \"<p><i>Chapters 1-5</i> </p><p>The field of healthcare epidemiology has expanded tremendously and now encompasses an extensive network of stakeholders working collaboratively across healthcare settings, government agencies, and partner organizations to decrease healthcare-associated infections (HAIs) and antimicrobial resistance (AR). The <a href=\\\"{entry:8535@1:url||https://corha.org/principles-practices-for-outbreak-response}\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">CORHA Principles and Practices for Healthcare Outbreak Response</a> is a comprehensive reference that covers key concepts and topics related to HAI/AR outbreak detection, reporting, investigation, and control. </p><p>In its final form, the Principles and Practices will consist of 8 chapters and 2 supplemental documents. CORHA is excited to announce that the first 5 chapters are now available.  </p><p>Chapter 1, “Overview,” introduces some basic concepts and terms, such as “HAI/AR outbreak” and “response,” and provides an outline and guide to subsequent chapters.  </p><p>Chapter 2, “Fundamental Concepts,” focuses on the background and basis for surveillance of healthcare-associated infections (HAIs) and antimicrobial resistant (AR) pathogens, as well as associated outbreak response activities. </p><p> Chapter 3,” Planning and Preparation,” discusses strategies that public health agencies and other partners can use to create a strong foundation for healthcare outbreak response. Topics include communications, legal authorities, escalation, recovery and follow-up, as well as potential implementation of incident command systems. </p><p>Chapter 4, “Outbreak Detection and Reporting, “examines the detection and reporting of potential outbreaks, including detection via reports and through use of surveillance data. Definitions of sentinel cases, clusters, and outbreaks are described. </p><p>Chapter 5, “Investigation and Control,” reviews the goals of a healthcare outbreak investigation and includes collections of resources to support and improve the HAI/AR outbreak response. The chapter is arranged to follow the steps typically involved in a healthcare outbreak investigation. </p><p>With the publication of its <a href=\\\"{entry:8535@1:url||https://corha.org/principles-practices-for-outbreak-response}\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">Principles and Practices for Healthcare Outbreak</a>, CORHA aims to equip public health, healthcare, and other stakeholders with a useful resource to build on and improve their healthcare outbreak response capacities and practices. </p><p><a href=\\\"{entry:8613@1:url||https://corha.org/pathogens-diseases}\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">Click here</a> to learn more about additional Resources and Products developed by CORHA.  </p>\", \"acf2caae-0773-4eb2-bb10-57a01b19e200\": \"Jaclyn Abramson, MPH\", \"ccabfff6-2908-407e-98d3-a22686d82840\": {\"score\": \"neutral\", \"social\": {\"twitter\": {\"title\": [], \"handle\": \"\", \"imageId\": null, \"description\": []}, \"facebook\": {\"title\": [], \"handle\": \"\", \"imageId\": null, \"description\": []}}, \"advanced\": {\"robots\": [], \"canonical\": null}, \"keywords\": [], \"titleRaw\": [], \"descriptionRaw\": \"\"}, \"dd06f1a1-3c4f-4001-adc3-f3c0a94550ac\": [1558], \"f88904a1-7870-468f-8885-f14ce93db364\": []}',1,'2024-09-23 19:08:19','2024-09-23 19:08:19','fe3935fa-0d48-4a28-b1b2-e7c93881da15'),(49884,49511,1,NULL,'__temp_ztrexopeesfaejtyjwseyhipnzxmjlgnurfs',NULL,'{\"b691f1c7-ad7d-4a8b-a9fa-b4feec58e073\": []}',1,'2024-09-23 19:08:19','2024-09-23 19:08:19','b32e8ca1-c699-4d06-83f7-760202f2f689'),(49886,49513,1,'CORHA Governance Committee CSTE Roundtable Discussion','corha-governance-committee-cste-roundtable-discussion','news/corha-governance-committee-cste-roundtable-discussion','{\"84a051cd-1f3d-42ba-be23-26f3f9856933\": \"<p>On June 21, CORHA Governance Committee members Drs. Erin Epson and Dawn Terashita convened 150 people for a virtual roundtable discussion at the annual <a href=\\\"https://www.csteconference.org/\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">CSTE Conference</a> where they provided an overview of CORHA’s <a href=\\\"{entry:2054@1:url||https://corha.org/about-corha}\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">mission and goals</a>, the current progress of the <a href=\\\"{entry:8535@1:url||https://corha.org/principles-practices-for-outbreak-response}\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">Principles and Practices for Outbreak Response</a> (P&amp;P), and other ongoing Council work. They highlighted CORHA’s P&amp;P and pathogen-specific products and described how these tools can prepare public health and healthcare practitioners for HAI/AR outbreak responses as well as assisting in onboarding new infection prevention and control staff, implementing HAI/AR epidemiology competency trainings, establishing HAI/AR outbreak definitions, and providing guidance for case reporting.</p><p>Attendees and facilitators engaged in a robust conversation on their engagement with the Council’s current products and provided suggestions for future work for CORHA to consider to further improve HAI/AR outbreak investigation and response. Many of the roundtable attendees discussed how they have turned to CORHA for recommendations and guidance, especially during the ongoing COVID-19 pandemic.</p><p>The facilitators solicited feedback from attendees regarding the use of infection control assessment and response (ICAR) tools and the responses were mixed. Some attendees said they used CDC’s ICAR tools, while others used CORHA’s <a href=\\\"https://www.corha.org/tools\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">templates</a> and some developed their own workflows within their state and local agencies for infection prevention and control efforts, such as conducting pre-site visit calls using a motivational interview approach. An underlying theme that united all these ICAR approaches was the need for collaboration between public health agencies and healthcare facilities, especially when the sectors may have competing needs and priorities. While defining roles, responsibilities, and regulatory requirements is important, public health and healthcare should aim to begin building and leveraging their relationships <i>before</i> an outbreak occurs. This ultimately creates the most collaborative space for public health agencies and healthcare facilities to work together to respond to outbreaks.</p><p>Drs. Epson and Terashita closed the session by discussing products that will be considered for development such as one-pagers for the chapters of the P&amp;P, standardized online tools for ICARs, guidance for non-licensed facilities, updated pathogen-specific thresholds and definitions, and a database where healthcare facilities can track and report HAI/AR outbreaks.</p><p>To stay informed on new and updated CORHA products, please consider subscribing to the monthly <a href=\\\"https://naccho.realmagnet.land/corha-correspondence-newsletter\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">CORHA Correspondence newsletter</a>. CORHA will continue to work on providing the most up-to-date evidence-based resources for healthcare and public health professionals who aim to build, standardize, and improve HAI/AR outbreak detection, reporting, investigation, and control. CORHA members also welcome <a href=\\\"{entry:1915@1:url||https://corha.org/contact-corha}\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">feedback</a> on CORHA products.</p>\", \"acf2caae-0773-4eb2-bb10-57a01b19e200\": \"Grace Lee, MPH\", \"ccabfff6-2908-407e-98d3-a22686d82840\": {\"score\": \"neutral\", \"social\": {\"twitter\": {\"title\": [], \"handle\": \"\", \"imageId\": null, \"description\": []}, \"facebook\": {\"title\": [], \"handle\": \"\", \"imageId\": null, \"description\": []}}, \"advanced\": {\"robots\": [], \"canonical\": null}, \"keywords\": [], \"titleRaw\": [], \"descriptionRaw\": \"\"}, \"dd06f1a1-3c4f-4001-adc3-f3c0a94550ac\": [1558], \"f88904a1-7870-468f-8885-f14ce93db364\": []}',1,'2024-09-23 19:10:15','2024-09-23 19:10:15','f9979c3f-f4f8-4c42-8063-941d08fb01b8'),(49887,49514,1,NULL,'__temp_btxjqhevgzfmmtabgxlwghkrhendgtptxhpu',NULL,'{\"b691f1c7-ad7d-4a8b-a9fa-b4feec58e073\": []}',1,'2024-09-23 19:10:15','2024-09-23 19:10:15','fcfeb5f7-c7cf-498f-b8d0-0cba851ecb85'),(49889,49516,1,'The Importance of Patient Notification and CORHA’s HAI Outbreak Notification Framework (Part 2)','the-importance-of-patient-notification-and-corhas-hai-outbreak-notification-framework-part-2','news/the-importance-of-patient-notification-and-corhas-hai-outbreak-notification-framework-part-2','{\"84a051cd-1f3d-42ba-be23-26f3f9856933\": \"<p><i>Part Two: CORHA’s New HAI Outbreak Notification Framework </i></p><p>In part one of this blog, we discussed the case for making outbreak notifications. Now we will talk about a new CORHA resource to assist with notifications. The <a href=\\\"{entry:3400@1:url||https://corha.org/collaborative-workgroups}\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">CORHA Policy Workgroup</a> has been discussing both legal and policy considerations related to outbreaks of healthcare-associated infections (HAIs), including those caused by antimicrobial-resistant (AR) pathogens.  </p><p>Our workgroup aims to generate products that can assist policy makers, at all levels, with improving the detection, reporting, investigation, control, and prevention of HAI/AR outbreaks. <a href=\\\"https://corha.org/assets/documents/Framework-for-HAI-Outbreak-Notification.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">CORHA’s Framework for Healthcare-Associated Infection Outbreak Notification</a> is a prime example. The framework was created because standards for HAI outbreak patient notification and public disclosure were lacking.  </p><p>We recognize that communicating information about outbreaks to patients, families, and healthcare workers is critical so patients can make informed decisions about their health and take appropriate recommended steps or actions. It is also very important for controlling and preventing further disease transmission.  </p><p>Our patient notification framework is based on public health best practices and grounded in bioethical principles of autonomy and beneficence. It was developed as a resource to help navigate the growing expectations and charged conversations around outbreaks and patient notification. The notification framework is designed to guide healthcare facility clinicians and policy makers with a standard set of actions that they may need to consider when an outbreak is identified at their facility.  </p><p>Healthcare partners should work with their local or state health departments to identify who to notify, and how to notify, as the framework details specific examples and considerations through the different steps of notification during an outbreak. The framework addresses three different levels of notification; immediate notification, expanded notification and public notification and details steps and actions to consider depending on the circumstances of the outbreak.  </p><p>Notifications, like outbreaks, vary in size, scale and complexity. We anticipate CORHA’s new framework will be a valuable tool to assist our healthcare facility and public health partners with navigating these multifaceted and demanding situations.  </p><p>Please <a href=\\\"{entry:8613@1:url||https://corha.org/pathogens-diseases}\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">click here </a>to learn more about additional Resources and Products developed by CORHA.  </p><figure class=\\\"image\\\"><img src=\\\"{asset:43895:transform:medium||/assets/images/transf/_medium/43895/Maureen-Tierney.webp}\\\" alt=\\\"Maureen Tierney\\\" width=\\\"300\\\" height=\\\"340\\\" /></figure><p><i>                                                                                         Maureen Tierney</i></p><figure class=\\\"image\\\"><img src=\\\"{asset:43896:transform:medium||/assets/images/transf/_medium/43896/Moon-Kim-232x300.webp}\\\" alt=\\\"Moon Kim\\\" width=\\\"300\\\" height=\\\"388\\\" /></figure><p><i>                                                                                         Moon Kim</i></p><figure class=\\\"image\\\"><img src=\\\"{asset:43897:transform:medium||/assets/images/transf/_medium/43897/Capture.webp}\\\" alt=\\\"Dawn Terashita\\\" width=\\\"300\\\" height=\\\"395\\\" /></figure><p>                                                                                  <i>       Dawn Terashita</i></p>\", \"acf2caae-0773-4eb2-bb10-57a01b19e200\": \"Maureen Tierney, MD, MSc., FIDSA, Moon Kim, MD, MPH, & Dawn Terashita, MD, MPH\", \"ccabfff6-2908-407e-98d3-a22686d82840\": {\"score\": \"neutral\", \"social\": {\"twitter\": {\"title\": [], \"handle\": \"\", \"imageId\": null, \"description\": []}, \"facebook\": {\"title\": [], \"handle\": \"\", \"imageId\": null, \"description\": []}}, \"advanced\": {\"robots\": [], \"canonical\": null}, \"keywords\": [], \"titleRaw\": [], \"descriptionRaw\": \"\"}, \"dd06f1a1-3c4f-4001-adc3-f3c0a94550ac\": [1558], \"f88904a1-7870-468f-8885-f14ce93db364\": []}',1,'2024-09-23 19:11:53','2024-09-23 19:11:53','3be58736-1a1a-4ced-8c66-53f71a92fa95'),(49890,49517,1,NULL,'__temp_mglelwybnlnonycxlgrimuygahioqkfigbiu',NULL,'{\"b691f1c7-ad7d-4a8b-a9fa-b4feec58e073\": []}',1,'2024-09-23 19:11:53','2024-09-23 19:11:53','006cca2a-8135-4289-9f60-3a820e12d815'),(49892,49519,1,'The Importance of Patient Notification and CORHA’s HAI Outbreak Notification Framework (Part 1)','the-importance-of-patient-notification-and-corhas-hai-outbreak-notification-framework-part-1','news/the-importance-of-patient-notification-and-corhas-hai-outbreak-notification-framework-part-1','{\"84a051cd-1f3d-42ba-be23-26f3f9856933\": \"<p><i>Part One: Truth and Transparency</i></p><p>Patient notification is at the forefront now more than ever due to the COVID-19 pandemic. The <a href=\\\"{entry:3400@1:url||https://corha.org/collaborative-workgroups}\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">CORHA Policy Workgroup</a> has been working to develop an <a href=\\\"https://corha.org/assets/documents/Framework-for-HAI-Outbreak-Notification.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">HAI Outbreak Notification Framework</a> to help assist health departments and facilities with the process of notifying patients and providers during outbreaks. In this post, we will be discussing the importance of notification and the benefits to everyone involved. Check back soon for part two, where we will discuss the HAI Outbreak Notification Framework in more detail.   </p><p>Notifying patients about outbreaks enables them to make informed decisions about their health and take actions to protect themselves. Transparency promotes confidence and increased trust between patients and providers, making clear and transparent communication key. Patients want and need to be informed of potential impacts on their health and wellbeing and we have personally heard from facilities that patients and their families generally appreciate transparency about outbreaks. Patients appreciate providers discussing risks, the impact on their care, information on how to protect themselves, and what the facility is doing to prevent new infections.  </p><p>Although the circumstances surrounding outbreaks vary, communication needs to be truthful, clear, and timely. Ideally notification should be done as soon as an outbreak has been identified so changes or enhancements in infection control practices can be adhered to by patients, visitors, and healthcare providers. Outbreak control measures can impact patients, visitors, and healthcare personnel and often include actions like case finding, immediate implementation of strict hand hygiene, enhanced environmental cleaning, personal protective equipment use, or patient isolation. It’s also important that as additional information becomes available, it is communicated to the affected groups. Outbreaks are complex, so acknowledging what is known and what is still unknown, can also help educate individuals regarding risks and actions to prevent further transmission.  </p><p>Communicating timely, accurate information can address inaccuracies and help stop further transmission. On the other hand, with poor communication, people could take inappropriate or unnecessary actions – like not seeking care or delaying necessary care – or feel they had been misled if information regarding their care is withheld. Another common dilemma occurs when a large number of people may need to be notified about a longstanding error in sterilizing instruments, but the likelihood of individual patient exposure is uncertain, and the risk of infection could be very low. These are just a few of the tough communication challenges faced regarding patient notification. </p><figure class=\\\"image\\\"><img src=\\\"{asset:43895:transform:medium||/assets/images/transf/_medium/43895/Maureen-Tierney.webp}\\\" alt=\\\"Maureen Tierney\\\" width=\\\"300\\\" height=\\\"340\\\" /></figure><p>                                                                                     <i>Maureen Tierney</i></p><figure class=\\\"image\\\"><img src=\\\"{asset:43896:transform:medium||/assets/images/transf/_medium/43896/Moon-Kim-232x300.webp}\\\" alt=\\\"Moon Kim\\\" width=\\\"300\\\" height=\\\"388\\\" /></figure><p>                                                                                           <i>   Moon Kim</i></p><figure class=\\\"image\\\"><img src=\\\"{asset:43897:transform:medium||/assets/images/transf/_medium/43897/Capture.webp}\\\" alt=\\\"Dawn Terashita\\\" width=\\\"300\\\" height=\\\"395\\\" /></figure><p>                                                                                     <i> Dawn Terashita</i></p>\", \"acf2caae-0773-4eb2-bb10-57a01b19e200\": \"Maureen Tierney, MD, MSc., FIDSA, Moon Kim, MD, MPH, & Dawn Terashita, MD, MPH\", \"ccabfff6-2908-407e-98d3-a22686d82840\": {\"score\": \"neutral\", \"social\": {\"twitter\": {\"title\": [], \"handle\": \"\", \"imageId\": null, \"description\": []}, \"facebook\": {\"title\": [], \"handle\": \"\", \"imageId\": null, \"description\": []}}, \"advanced\": {\"robots\": [], \"canonical\": null}, \"keywords\": [], \"titleRaw\": [], \"descriptionRaw\": \"\"}, \"dd06f1a1-3c4f-4001-adc3-f3c0a94550ac\": [1558], \"f88904a1-7870-468f-8885-f14ce93db364\": []}',1,'2024-09-23 19:13:15','2024-09-23 19:13:15','53c8dec1-e8c5-49c0-83f2-dd19f9a32d58'),(49893,49520,1,NULL,'__temp_nezahwjyqhxadefbgzjpqfgibcoxdtluysut',NULL,'{\"b691f1c7-ad7d-4a8b-a9fa-b4feec58e073\": []}',1,'2024-09-23 19:13:15','2024-09-23 19:13:15','cd3c5d37-baac-40a5-99a7-fff6e452d3a3'),(49895,49522,1,'Leadership: Pandemic Response – Public Health Laboratories Rise to the Challenges, with Kelly Wroblewski, Association of Public Health Laboratories','leadership-pandemic-response-public-health-laboratories-rise-to-the-challenges-with-kelly-wroblewski-association-of-public-health-laboratories','news/leadership-pandemic-response-public-health-laboratories-rise-to-the-challenges-with-kelly-wroblewski-association-of-public-health-laboratories','{\"84a051cd-1f3d-42ba-be23-26f3f9856933\": \"<p>Public health laboratories are foundational to our nation’s public health infrastructure. While the COVID-19 pandemic response presented many significant challenges for public health laboratories, it has also provided opportunities to strengthen partnerships and implement new technologies that will enhance the ability to detect and respond to healthcare associated infections (HAIs) moving forward.</p><figure class=\\\"image\\\"><a href=\\\"{asset:43913:transform:medium||/assets/images/transf/_medium/43913/Kelly-Wroblewski.webp}\\\"><img src=\\\"{asset:43913:transform:medium||/assets/images/transf/_medium/43913/Kelly-Wroblewski.webp}\\\" alt=\\\"Kelly Wroblewski\\\" width=\\\"300\\\" height=\\\"300\\\" /></a></figure><p>                                                                      <i>                Kelly Wroblewski</i></p><p>From the earliest days of the COVID-19 response, public health laboratories faced scarcity of laboratory reagents and supplies, staff shortages, inability to meet high testing demands, and outdated test ordering and reporting systems. Although several of those challenges remain, public health laboratories have adapted to the pandemic response by installing high throughput testing platforms, implementing electronic test order and result systems, enhancing their capability and capacity to perform genomic surveillance, and establishing training programs for point of care testing.</p><p>Public health laboratories’ genomic sequencing capacity is one of the most striking examples of technologic advancements made during the pandemic. While the recent COVID-19 Omicron variant wave exacerbated ongoing issues with testing, it also highlighted the significant developments made in genomic sequencing capacity and the ability of health departments to effectively utilize point of care tests performed in a wide variety of healthcare settings, both of which were not common practices early in the pandemic. Since March 2020, the number of public health laboratories that are performing genomic sequencing for SARS-CoV-2 to monitor the emergence and spread of variants and identify transmission networks has increased from five to 71.</p><p>Partnerships with HAI/AR programs, healthcare facilities and other entities have also been vital in preventing the spread of COVID-19 in healthcare settings. During the early stages of the pandemic, it quickly became apparent that residents of congregate settings would be at the highest risk of contracting COVID-19 and would be especially vulnerable to severe illness and death. Given this, public health laboratories worked with partners to rapidly develop interventions to respond to these populations’ unique needs.</p><p>Some of the most significant partnerships between public health laboratories and HAI/AR programs during the pandemic occurred through interventions aimed at limiting transmission and preventing outbreaks in long-term care facilities (LTCFs). To support implementation of a CMS testing directive encouraging serial screening of residents and health care personnel (HCP) to facilitate rapid case identification, public health laboratories worked with HAI/AR programs and LTCFs to develop testing training programs, extend CLIA licenses, support acquisition of CLIA certificates of waiver, and establish mechanisms for reporting. Notably, a collaboration between Minnesota’s HAI/AR program and public health laboratories demonstrated the <a href=\\\"https://www.cdc.gov/mmwr/volumes/69/wr/mm6937a3.htm\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">importance of serial screening in LTCFs to limit the spread of COVID-19</a>, and the utility of genomic sequencing to determine the source of transmission. In addition, the Michigan Department of Health developed a <a href=\\\"https://www.michigan.gov/coronavirus/0,9753,7-406-98178_100722---,00.html\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">COVID-19 webpage</a> specific to LTCFs with training materials and videos that public health laboratories helped develop to ensure that testing is conducted properly.</p><p>Gains made during the COVID-19 pandemic response can be leveraged to improve detection, reporting, response, and investigation of future HAI/AR outbreaks. For example, public health laboratories’ advancements in performing genomic sequencing are already being applied to support SARS-CoV-2 testing, as well as other HAIs and AR pathogens including carbapenem-resistant Enterobacterales and <i>Candida auris</i>. HAI/AR programs and public health laboratories partnerships that were strengthened during the pandemic will continue to be valuable for sustainable and innovative approaches to prevent and control HAI/AR outbreaks. Similarly, public health laboratories’ experiences are helping inform development of resources such as CORHA’s product offerings and will continue to equip health departments and healthcare facilities with the tools to improve HAI/AR outbreak responses.</p>\", \"acf2caae-0773-4eb2-bb10-57a01b19e200\": \"Kelly Wroblewski, MPH\", \"ccabfff6-2908-407e-98d3-a22686d82840\": {\"score\": \"neutral\", \"social\": {\"twitter\": {\"title\": [], \"handle\": \"\", \"imageId\": null, \"description\": []}, \"facebook\": {\"title\": [], \"handle\": \"\", \"imageId\": null, \"description\": []}}, \"advanced\": {\"robots\": [], \"canonical\": null}, \"keywords\": [], \"titleRaw\": [], \"descriptionRaw\": \"\"}, \"dd06f1a1-3c4f-4001-adc3-f3c0a94550ac\": [1558], \"f88904a1-7870-468f-8885-f14ce93db364\": []}',1,'2024-09-23 19:14:04','2024-09-23 19:14:04','fdcc5200-991b-4281-90e0-f9f7dd7d07ad'),(49896,49523,1,NULL,'__temp_nlaogobniiqxorvdhhdgeogrixecjsbqcgeu',NULL,'{\"b691f1c7-ad7d-4a8b-a9fa-b4feec58e073\": []}',1,'2024-09-23 19:14:04','2024-09-23 19:14:04','17454209-04ca-40df-9a37-5d258c6e1b67'),(49898,49525,1,'Leadership: Dawn Terashita & Zachary Rubin, Los Angeles County Department of Public Health on the Future of HAI/AR Response in the Face of COVID-19','leadership-dawn-terashita-zachary-rubin-los-angeles-county-department-of-public-health-on-the-future-of-hai-ar-response-in-the-face-of-covid-19','news/leadership-dawn-terashita-zachary-rubin-los-angeles-county-department-of-public-health-on-the-future-of-hai-ar-response-in-the-face-of-covid-19','{\"84a051cd-1f3d-42ba-be23-26f3f9856933\": \"<p>COVID-19 has impacted healthcare-associated infections and antimicrobial-resistant (HAI/AR) threats across all healthcare settings. Los Angeles County saw an increase in HAIs, such as central line bloodstream infections (CLABSI) as a result of many facilities changing their CLABSI prevention efforts to accommodate the challenges of caring for COVID-19 patients. Additionally, Los Angeles County saw an increase of multidrug-resistant organisms (MDROs), such as <i>Candida auris</i>, due to personal protective equipment (PPE) practices being altered early in the pandemic due to severe shortages. Despite the difficulties brought on by COVID-19, awareness of infection prevention efforts has improved over the last two years, especially in nursing homes.  </p><p>The COVID-19 pandemic has had both negative and positive impacts on infection prevention in healthcare. The negative impacts, such as PPE shortages, staffing shortages, facility crowding, frequent moving of patients throughout the facilities due to COVID-related cohorting, and lack of focus on identifying and containing MDROs, contributed to increased MDRO spread. The positive impacts include new legislative actions, increased funding, and building stronger relationships and partnerships to support infection prevention efforts across the healthcare community. California introduced a new state law requiring all nursing homes to employ a full-time infection preventionist (IP). Funding opportunities from the Centers for Disease Control and Prevention (CDC) at the local and state level have helped to improve infection control and has provided some much-needed resources for nursing homes and other long-term care facilities. Increased funding, stakeholder engagement, and requirements for infection preventionists have helped shaped the backbone for an unprecedented future educational program centered on infection prevention within nursing homes.  </p><p>There are many insights that we have gained while leading the Healthcare Outreach Unit at the Los Angeles County Department of Public Health that can help improve HAI/AR response. We believe that stakeholder engagement is a key to success for health departments. Programs rolled-out by public health departments should be developed in conjunction with stakeholders and should address the concerns that these stakeholders bring to the table. As an example, to support nursing homes, we have hired two geriatricians and nurses with experience working in this setting, who understand many of the concerns and constraints present in these facilities, and already have relationships in the field. We have learned that you should not underestimate the importance of giving each nursing home a specific public health nurse to work with and build rapport. We have also strengthened our ties with the leadership in individual nursing homes and with the nursing homes operators, which helps to improve stakeholder buy-in and input. We plan to use the engagement and trust that we have developed over the last two years to elevate infection prevention across all nursing homes through standardized template policies and training, instead of allowing each facility to develop their IP program unilaterally, which is what many facilities have done in the past with mixed success. </p><p>Overall, we believe the future of HAI/AR response success is dependent on the ability to adapt and remain flexible while refocusing activities beyond COVID-19. The <a href=\\\"https://www.corha.org/\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">Council for Outbreak Response: Healthcare-Associated Infections and Antimicrobial-Resistant Pathogen (CORHA)</a> plays a vital role in improving practices and policies at the local, state, and national levels regarding HAI/AR outbreaks across the healthcare continuum. We hope that through sharing our experience we can help promote CORHA’s mission to improve practices and policies for the detection, investigation, control, and prevention of HAI/AR outbreaks, with other local health departments and healthcare facilities. </p><figure class=\\\"image\\\"><img src=\\\"{asset:43897:transform:medium||/assets/images/transf/_medium/43897/Capture.webp}\\\" alt=\\\"Dawn Terashita\\\" width=\\\"300\\\" height=\\\"395\\\" /></figure><p>                                                                              <i>        Dawn Terashita</i></p><figure class=\\\"image\\\"><img src=\\\"{asset:43921:transform:medium||/assets/images/transf/_medium/43921/Zachary-Rubin.webp}\\\" alt=\\\"Zachary Rubin\\\" width=\\\"300\\\" height=\\\"300\\\" /></figure><p>                                                                                        <i> Zachary Rubin</i></p>\", \"acf2caae-0773-4eb2-bb10-57a01b19e200\": \"Dawn Terashita, MD, MPH, FACPM & Zachary Rubin, MD\", \"ccabfff6-2908-407e-98d3-a22686d82840\": {\"score\": \"neutral\", \"social\": {\"twitter\": {\"title\": [], \"handle\": \"\", \"imageId\": null, \"description\": []}, \"facebook\": {\"title\": [], \"handle\": \"\", \"imageId\": null, \"description\": []}}, \"advanced\": {\"robots\": [], \"canonical\": null}, \"keywords\": [], \"titleRaw\": [], \"descriptionRaw\": \"\"}, \"dd06f1a1-3c4f-4001-adc3-f3c0a94550ac\": [1558], \"f88904a1-7870-468f-8885-f14ce93db364\": []}',1,'2024-09-23 19:14:57','2024-09-23 19:14:57','ceeef3c7-df02-4c63-a73e-48735db05b12'),(49899,49526,1,NULL,'__temp_glokdkqjzvpcjpsqtzwphdmpqolnqfzelekg',NULL,'{\"b691f1c7-ad7d-4a8b-a9fa-b4feec58e073\": []}',1,'2024-09-23 19:14:57','2024-09-23 19:14:57','439e7bbe-4f81-4c2a-82db-a333e78b9b91'),(49901,49528,1,'Leadership: New CDC Funding Recognizes Healthcare Outbreak Response Needs','leadership-new-cdc-funding-recognizes-healthcare-outbreak-response-needs','news/leadership-new-cdc-funding-recognizes-healthcare-outbreak-response-needs','{\"84a051cd-1f3d-42ba-be23-26f3f9856933\": \"<p>The Biden-Harris Administration and CDC recently announced a $2.1 billion investment as part of the American Rescue Plan (ARP), to improve infection prevention and control activities across the U.S. public health and healthcare sectors. Health departments received $885 million of this total in late October 2021 to support this work. CORHA interviewed Dr. Joe Perz, our lead representative from CDC and a Governance Committee member, to learn more about the funding.</p><h2><i>What is the new funding we’ve been hearing about?</i></h2><p>The initial funding is divided between two projects that are managed under a <a href=\\\"https://www.cdc.gov/ncezid/dpei/epidemiology-laboratory-capacity.html\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">CDC cooperative agreement with health departments</a>. One of these is the <a href=\\\"https://www.cdc.gov/ncezid/dpei/pdf/guidance-nursing-home-ltc-facility-strike-team-and-infastructure-508.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">Nursing Home &amp; Long-term Care Facility Strike Team and Infrastructure Project</a> which totals $500 million. The other is the <a href=\\\"https://www.cdc.gov/ncezid/dpei/pdf/guidance-strengthening-haiar-program-capicity-508.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">Strengthening HAI/AR Program (SHARP) Capacity Project</a> which totals $385 million.</p><h2><i>How is healthcare outbreak response reflected in the new funding?</i></h2><p>Healthcare outbreak response is clearly recognized as a core function and essential need in both new funding opportunities, which cover the response continuum beginning with outbreak detection and extending to on-site investigation as well as longer-term follow-up activities to prevent a recurrence.</p><h2><i>Can you unpack that a bit, in relation to the Nursing Home &amp; Long-term Care Project?</i></h2><p>Sure, the <a href=\\\"https://www.cdc.gov/ncezid/dpei/pdf/guidance-nursing-home-ltc-facility-strike-team-and-infastructure-508.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">LTC Project Guidance</a> includes a directive to support nursing homes – and other types of long-term care facilities – with COVID-19 outbreak response. That’s the primary motivation, and the funding can be used to support the rapid reactive activities – like testing, cohorting, infection control auditing, and even supplemental staffing – when SARS-CoV-2 has entered a facility and transmission is ramping up.</p><p>The allowable activities also support more proactive measures, like helping equip facilities with technology for infection tracking and reporting or communication with health department partners. In addition, we are supportive of creative approaches for staff recruitment, development, and retention.</p><p>The overall aim here is to build infection prevention infrastructure and achieve a greater quality of care. In other words, greater resilience to SARS-CoV-2 and outbreaks more generally. Susceptibility to the rapid spread of infections is something that nursing homes really must guard against, given the congregate and residential nature of long-term care.</p><h2><i>And what about the SHARP Project?</i></h2><p>Same spirit, spread farther. The SHARP funds are intended to enhance health department HAI/AR (healthcare associated infections/antimicrobial resistance) Program activities across all healthcare settings, not limited to long-term care. The <a href=\\\"https://www.cdc.gov/ncezid/dpei/pdf/guidance-strengthening-haiar-program-capicity-508.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\">SHARP project guidance</a> reflects the central challenge that CORHA was originally founded on, which was the need to build capacity for public health and healthcare to improve outbreak detection, response and prevention. This requires close collaboration and relationship building between public health professionals and healthcare providers, which has been growing steadily but could really blossom now with these ARP-supported investments.</p><p>Outbreak detection should improve thanks to SHARP activities related to both the AR Lab Network and National Healthcare Safety Network (NHSN). These will enhance surveillance for drug-resistant pathogens and HAIs, providing data for action. Likewise, outbreak investigation should benefit from additional staffing and increased engagement with healthcare partners.</p><p>SHARP encourages health departments to build HAI/AR prevention and response capacity throughout their jurisdictions, such as expanded use of local and regional approaches to address HAI/AR threats and controlling the spread of resistant pathogens. The guidance describes requirements for funded HAI/AR programs to establish a lead position to coordinate and oversee HAI response activities and to train staff in outbreak response.</p><h2><i>Advice for CORHA and its member organizations?</i></h2><p>Yes, let’s lean into this opportunity. CORHA is identified as a key source for healthcare outbreak training resources. It would be great to see increased activities in that realm, including collaboration with CORHA’s member organizations to improve and expand our collective offerings.</p><p>Both of the new projects emphasize direct engagement with individual facilities. The SHARP project references activities such as medical product investigations, targeted AR threats, molecular testing methods, patient notification, and many other aspects of healthcare outbreak response. These all represent opportunities for CORHA’s workgroups and member organizations to take our work to the next level.</p><figure class=\\\"image\\\"><img src=\\\"{asset:43928:transform:medium||/assets/images/transf/_medium/43928/Joseph-Perz-300x241-2.webp}\\\" alt=\\\"Joseph Perz\\\" width=\\\"300\\\" height=\\\"241\\\" /></figure><p><i>                                                                                              Joseph Perz</i></p>\", \"acf2caae-0773-4eb2-bb10-57a01b19e200\": \"Joseph Perz, DrPH, MA\", \"ccabfff6-2908-407e-98d3-a22686d82840\": {\"score\": \"neutral\", \"social\": {\"twitter\": {\"title\": [], \"handle\": \"\", \"imageId\": null, \"description\": []}, \"facebook\": {\"title\": [], \"handle\": \"\", \"imageId\": null, \"description\": []}}, \"advanced\": {\"robots\": [], \"canonical\": null}, \"keywords\": [], \"titleRaw\": [], \"descriptionRaw\": \"\"}, \"dd06f1a1-3c4f-4001-adc3-f3c0a94550ac\": [1558], \"f88904a1-7870-468f-8885-f14ce93db364\": []}',1,'2024-09-23 19:15:40','2024-09-23 19:15:40','1c9ffecb-1a06-40bd-9328-ce002cd3720e'),(49902,49529,1,NULL,'__temp_bhoaqpcwliheoxdoefccuqomhlidlzrakdlm',NULL,'{\"b691f1c7-ad7d-4a8b-a9fa-b4feec58e073\": []}',1,'2024-09-23 19:15:40','2024-09-23 19:15:40','b1ea5439-57b7-49cf-b542-660f2d645954'),(49904,49531,1,'Leadership: Linda Greene, Director of Hospital Infection Prevention at the University of Rochester Highland Hospital','leadership-linda-greene-director-of-hospital-infection-prevention-at-the-university-of-rochester-highland-hospital','news/leadership-linda-greene-director-of-hospital-infection-prevention-at-the-university-of-rochester-highland-hospital','{\"84a051cd-1f3d-42ba-be23-26f3f9856933\": \"<p>As a front-line infection preventionist and Director of Infection Prevention in a healthcare organization, preventing healthcare-associated infections and addressing antimicrobial resistance are both high priorities of mine. Prior to the COVID-19 pandemic, my work with outbreaks included surgical site infections and an outbreak of healthcare-associated influenza. The influenza outbreak investigation and response were remarkably successful and stemmed from our ability to identify an initial source of the outbreak and implement several recommended infection prevention measures. Response actions included closing the unit to new admissions, carefully screening staff, and administering pre- and post-exposure prophylaxis. However, in my experience, the greatest outbreak and infection prevention and control challenges I have witnessed were related to COVID-19.  </p><blockquote><p>\\\"…The greatest outbreak and infection prevention and control challenges I have witnessed were related to COVID-19.\\\"</p></blockquote><p>Our hospital’s COVID-19 clusters were associated with myriad issues including staff-to-staff transmission, patient-to-staff transmission, and staff-to-patient transmission. In addition, patient and visitor non-compliance with masking, risk from aerosol generating procedures, patients who initially test negative and incubate on admission, as well as contamination during donning and doffing personal protective equipment were the main difficulties we navigated. Another challenge was the shortage of private rooms and medical supply delays, especially at the height of the pandemic, which exacerbated our containment efforts. These matters have highlighted areas and opportunities for improvement in practices, testing, and hardwiring processes. Looking to the future of outbreak investigation, we need access at the local level to important tools such as whole genome sequencing. Once these and other tools become more readily available, we will be able to identify, attribute, and mitigate outbreaks in a more comprehensive and timely manner.  </p><p>I have gained many insights from my involvement in CORHA. Most notably, I have a greater appreciation for and recognition of the link between hospital infection prevention and public health. This is an important and essential relationship, as I have acquired invaluable knowledge from both my public health colleagues in my state and in COHRA. Recently, I worked with CORHA to develop the <a href=\\\"https://corha.org/assets/documents/COVID-19-HC-Outbreak-Definition-Guidance_January-2024.pdf\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\"><i>CORHA/CSTE Proposed Investigation/Reporting Thresholds and Outbreak Definitions for COVID-19</i> <i>in Healthcare</i> <i>Settings</i></a>, and more broadly to review <a href=\\\"{entry:8535@1:url||https://corha.org/principles-practices-for-outbreak-response}\\\" target=\\\"_blank\\\" rel=\\\"noreferrer noopener\\\"><i>CORHA’s Principles and Practices for Outbreak Response</i></a>. </p><p>As a former APIC president, my perceptions and experiences have granted me the ability to contribute to CORHA in a distinctive way. APIC’s competencies for Infection Preventionists are critical during the COVID-19 pandemic, in particular the leadership competencies: communication, collaboration, critical thinking, behavioral science, program management, and mentorship. My hope for the future of CORHA is to expand its strategy and awareness to other emerging pathogens and continue development of principles and practices for addressing product and device associated infections, as well as important healthcare-associated infection outbreaks. The diverse organizations who contribute to COHRA represent an abundance of knowledge and expertise and embody the essential link between patient safety, infection prevention, and public health.  </p><figure class=\\\"image\\\"><img src=\\\"{asset:43932:transform:medium||/assets/images/transf/_medium/43932/Linda-Greene-200x300.webp}\\\" alt=\\\"Linda Greene\\\" width=\\\"300\\\" height=\\\"450\\\" /></figure><p><i>                                                                                          Linda Greene</i></p>\", \"acf2caae-0773-4eb2-bb10-57a01b19e200\": \"Linda Greene, RN, MPS, CIC, FAPIC\", \"ccabfff6-2908-407e-98d3-a22686d82840\": {\"score\": \"neutral\", \"social\": {\"twitter\": {\"title\": [], \"handle\": \"\", \"imageId\": null, \"description\": []}, \"facebook\": {\"title\": [], \"handle\": \"\", \"imageId\": null, \"description\": []}}, \"advanced\": {\"robots\": [], \"canonical\": null}, \"keywords\": [], \"titleRaw\": [], \"descriptionRaw\": \"\"}, 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\"ee09d78e-63c3-4bdf-aaf4-4c05789851fb\": \"Chapter Three\"}',1,'2024-11-07 16:43:09','2024-11-07 16:43:09','45ae397d-f740-4447-8e8e-e3dadc6836d3'),(50081,49697,1,NULL,'__temp_rgjfcjgivkkfbvvdjojwocgwobjbrpshscrg',NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p>Learn about agency roles, team structures, and tips for organizing, managing, and optimizing response activities.</p>\", \"8e258b49-53ff-4566-8088-a5161e4a62cc\": \"Planning & Preparation\", \"b691f1c7-ad7d-4a8b-a9fa-b4feec58e073\": []}',1,'2024-11-07 16:43:09','2024-11-07 16:43:09','aa80efb0-c42d-4e9a-96b1-0b0c2d822722'),(50082,49698,1,NULL,'__temp_jpsylhdduysopiyoewwdhrjloulnnqktmyaa',NULL,NULL,1,'2024-11-07 16:43:09','2024-11-07 16:43:09','98b1ead0-9512-4cd8-b0e7-f228db6e9b0e'),(50083,49699,1,NULL,'__temp_aaiguvstvispuzkxhsmzpkqyapyozrtgjkou',NULL,'{\"4ef0d8f2-6c32-41b6-8648-80abbba8adaf\": {\"date\": \"2024-06-30 07:00:00\"}, \"ce38096b-1714-4d43-ae46-d75b6150ba1a\": {\"date\": \"2024-06-30 07:00:00\"}}',1,'2024-11-07 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16:43:09','46fcc7f1-3cdc-46a2-986c-1cea1ef0a636'),(50096,49712,1,'Fundamental Concepts',NULL,NULL,NULL,1,'2024-11-07 16:43:25','2024-11-07 16:43:25','3b6fdf25-a623-4fc8-b4f9-ce6dcd0231d0'),(50097,49712,2,'Fundamental Concepts',NULL,NULL,NULL,1,'2024-11-07 16:43:26','2024-11-07 16:43:26','9ccb8d1d-cc92-4a11-8767-08dddc4b00b3'),(50098,49713,1,'2 - Fundamental Concepts','fundamental-concepts','chapters/fundamental-concepts','{\"0c9be173-318a-42f5-b27d-86204f3dfa65\": \"Fundamental Concepts\", \"5059a5bd-76ce-45e0-9a4b-8fac72d03c10\": {\"score\": \"neutral\", \"social\": {\"twitter\": {\"title\": [], \"handle\": \"\", \"imageId\": null, \"description\": []}, \"facebook\": {\"title\": [], \"handle\": \"\", \"imageId\": null, \"description\": []}}, \"advanced\": {\"robots\": [], \"canonical\": null}, \"keywords\": [], \"titleRaw\": [], \"descriptionRaw\": \"\"}, \"68c04e47-b499-4e50-88f0-a409394e673e\": 2, \"962072b8-a4f7-4d15-86ee-09f0382a2b5f\": [49712], \"ee09d78e-63c3-4bdf-aaf4-4c05789851fb\": \"Chapter Two\"}',1,'2024-11-07 16:43:28','2024-11-07 16:43:28','b347de65-da2d-401a-8d56-a2b3f5566567'),(50099,49714,1,'2 - Fundamental Concepts','fundamental-concepts','chapters/fundamental-concepts','{\"0c9be173-318a-42f5-b27d-86204f3dfa65\": \"Fundamental Concepts\", \"5059a5bd-76ce-45e0-9a4b-8fac72d03c10\": {\"score\": \"neutral\", \"social\": {\"twitter\": {\"title\": [], \"handle\": \"\", \"imageId\": null, \"description\": []}, \"facebook\": {\"title\": [], \"handle\": \"\", \"imageId\": null, \"description\": []}}, \"advanced\": {\"robots\": [], \"canonical\": null}, \"keywords\": [], \"titleRaw\": [], \"descriptionRaw\": \"\"}, \"68c04e47-b499-4e50-88f0-a409394e673e\": 2, \"962072b8-a4f7-4d15-86ee-09f0382a2b5f\": [46158], \"ee09d78e-63c3-4bdf-aaf4-4c05789851fb\": \"Chapter Two\"}',1,'2024-11-07 17:10:55','2024-11-07 17:10:55','ff898696-64b0-4879-8563-2e0966ef340a'),(50100,49715,1,NULL,'__temp_uzoucsvhhrzyjqqombpthfudczbtgaxzrgay',NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p>Learn basic concepts and trends in healthcare delivery, HAI/AR surveillance, outbreak detection, and response.</p>\", \"8e258b49-53ff-4566-8088-a5161e4a62cc\": \"Fundamental Concepts\", \"b691f1c7-ad7d-4a8b-a9fa-b4feec58e073\": [49624]}',1,'2024-11-07 17:10:56','2024-11-07 17:10:56','0bfe608b-f8ab-4b68-ab91-04cd278c7602'),(50101,49716,1,NULL,'__temp_eoacrtyvzmbfchquvzyrzxrvwhwdsvqqpeer',NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For infection prevention specialists\", \"a60e2dbd-d1d4-4923-b727-5371a91e9c7b\": [5630], \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for epidemiologists\"}',1,'2024-11-07 17:10:56','2024-11-07 17:10:56','69f561a7-c062-465e-8926-c171bab80122'),(50102,49717,1,NULL,'__temp_qeltmaysthbvpssbkkdkvucmabkcbavviiub',NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For health 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17:10:56','2b16d071-f766-4558-81d2-a27eaa525c94'),(50106,49721,1,NULL,NULL,NULL,NULL,1,'2024-11-07 17:10:56','2024-11-07 17:10:56','81945344-f56b-4b7d-a411-b594bdd77e3b'),(50107,49722,1,NULL,'__temp_oiafbbxgbniwzxmofapotgjvjzrsxmrjsurr',NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Chapter Summary</h2><p>In Chapter 2, Fundamental Concepts, we review concepts related to healthcare and public health surveillance as well as trends in outbreak detection and response. </p><p>As healthcare-associated infection and antimicrobial resistance (HAI/AR) surveillance improves and outbreaks are recognized earlier, the public health and healthcare communities are better positioned to reduce patient harm from HAIs, AR pathogens, and healthcare outbreaks. </p><p>The ultimate goal of healthcare outbreak response is to rapidly detect and respond to potential outbreaks, ensuring that any unsafe practices are discovered and corrected before further harm can occur.</p><p>The chapter contains information on: </p><ul><li>Healthcare settings investigators may encounter as part of an HAI/AR outbreak response </li><li>Changes to healthcare delivery, regulations, funding, and public health capacity over time that have impacted HAI/AR surveillance practices and outbreak response activities</li><li>Trends in surveillance, including descriptions of systems used to identify potential outbreaks as well as types of outbreaks and other events to which public health routinely responds<strong> </strong></li></ul>\"}',1,'2024-11-07 17:10:56','2024-11-07 17:10:56','b5becc71-8ec8-4349-82aa-9be8a307f7dc'),(50108,49723,1,NULL,NULL,NULL,NULL,1,'2024-11-07 17:10:56','2024-11-07 17:10:56','5cc0d73c-5fd0-4aa8-895a-920ac08a47e4'),(50109,49724,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Introduction</h3>\"}',1,'2024-11-07 17:10:56','2024-11-07 17:10:56','da5ec3f1-8adc-4353-8166-ab263056880c'),(50110,49725,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What are the general roles and responsibilities of various agencies during an outbreak?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-11-07 17:10:56','2024-11-07 17:10:56','d54de9a7-d409-4070-a764-d6774c4d9210'),(50111,49726,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What individual roles should the outbreak response team consist of, and what are their responsibilities?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-11-07 17:10:56','2024-11-07 17:10:56','49834ca4-316d-4899-ae4f-5ada6cf8351f'),(50112,49727,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What equipment, supplies, documents, toolkits, and other resources should a response team have?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-11-07 17:10:56','2024-11-07 17:10:56','2ed96554-d0b2-4a8c-9ddf-4e9b4cd46b6c'),(50113,49728,1,NULL,NULL,NULL,NULL,1,'2024-11-07 17:10:56','2024-11-07 17:10:56','b46303f9-7978-4a36-bcda-56afbc220ce2'),(50114,49729,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Protocol &amp; Responsibilities</h3>\"}',1,'2024-11-07 17:10:56','2024-11-07 17:10:56','693757d0-7929-41ce-9c5d-0831f397207d'),(50115,49730,1,NULL,'__temp_wwuzwabkhvorcsjufvnkxszoatptxljtxtxt',NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What communication needs should an outbreak response team be prepared for?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-11-07 17:10:56','2024-11-07 17:10:56','ae8c1aa0-52de-44ee-8410-60a46caa38e1'),(50116,49731,1,NULL,'__temp_rxkghzlplhxxolygneaqhcszcspjtdosahqw',NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How should an outbreak response team manage their records?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-11-07 17:10:56','2024-11-07 17:10:56','ab7e587f-5b0f-4a72-9c29-3007ebbcaacf'),(50117,49732,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"When should an outbreak response team ask for help, and who can provide it?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-11-07 17:10:56','2024-11-07 17:10:56','f9be75a8-d438-4e33-bc5d-d3ec6c3d1704'),(50118,49733,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What is an incident command center?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-11-07 17:10:57','2024-11-07 17:10:57','ba2ae13d-40b8-47b0-9c3a-2a5a3d208188'),(50119,49734,1,NULL,NULL,NULL,NULL,1,'2024-11-07 17:10:57','2024-11-07 17:10:57','a23c9653-cd16-42f7-9f4c-b64b9d26c193'),(50120,49735,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Additional Topics</h3>\"}',1,'2024-11-07 17:10:57','2024-11-07 17:10:57','484bf5d4-9c2f-4e3f-9a0b-034379dbf7cb'),(50121,49736,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What other legal, ethical, or privacy concerns should be considered?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-11-07 17:10:57','2024-11-07 17:10:57','11338569-b021-474a-ad25-78bee4bfed4e'),(50122,49737,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How can an outbreak response team plan for recovery and follow up?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-11-07 17:10:57','2024-11-07 17:10:57','4ae11121-1a71-4b93-a6f9-0463b5ecc235'),(50123,49738,1,NULL,NULL,NULL,NULL,1,'2024-11-07 17:10:57','2024-11-07 17:10:57','2ccc8a81-2bf8-419b-b637-4ec973924a7b'),(50124,49739,1,NULL,'__temp_xolszmsyzjbyrhayzgedgrzvaflbdemscyru',NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<p>As advances occur in outbreak protocols, this guidance document will be updated. Previous changes can be tracked below:</p><ul><li>2nd Edition – Published June 2024</li><li>1st Edition – Published October 2022</li><li>URLs in this document are valid as of April 29, 2024.</li></ul>\", \"f394434c-cdd6-422c-857c-73fdb47ec55d\": \"Change Log\"}',1,'2024-11-07 17:10:57','2024-11-07 17:10:57','27b7ca58-db12-4f04-8a50-58810f167851'),(50125,49740,1,NULL,NULL,NULL,NULL,1,'2024-11-07 17:10:57','2024-11-07 17:10:57','4414174c-53f7-4887-aaf5-3db5f7842604'),(50126,49741,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>January 5, 2024</h3><ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-11-07 17:10:57','2024-11-07 17:10:57','930e69c8-8469-4cde-b0be-106066da7a87'),(50127,49742,1,NULL,NULL,NULL,NULL,1,'2024-11-07 17:10:57','2024-11-07 17:10:57','0f2aa277-13f5-4cee-9ea6-0df74accd30a'),(50128,49743,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Previous Changes</h3>\"}',1,'2024-11-07 17:10:57','2024-11-07 17:10:57','f0010e8a-da5c-4841-aa00-4f571b274c96'),(50129,49744,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"December 10, 2023\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-11-07 17:10:57','2024-11-07 17:10:57','fc891ac3-e533-4a2a-81dd-1a877c111af3'),(50130,49745,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"April 23, 2023\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-11-07 17:10:57','2024-11-07 17:10:57','598e03ed-476e-436e-ab24-4722e97c504e'),(50131,49746,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"September 05, 2022\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-11-07 17:10:57','2024-11-07 17:10:57','eea30a55-72d2-4264-a714-c9431e3efd7b'),(50132,49747,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"February 19, 2022\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. Sed pellentesque convallis neque ac tempor.</li></ul>\"}',1,'2024-11-07 17:10:57','2024-11-07 17:10:57','c5c1a61d-229d-41cf-9cf1-3ef9ffc44b4b'),(50133,49748,1,NULL,NULL,NULL,NULL,1,'2024-11-07 17:10:57','2024-11-07 17:10:57','34e8d021-c692-48e3-898d-195cd083783e'),(50134,49749,1,NULL,'__temp_savwcesdclygunxiwansxqcmypmtjyfemarz',NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<ol><li>Centers for Disease Control and Prevention (CDC). HAI Data. <a href=\\\"https://www.cdc.gov/hai/data/index.html\\\">https://www.cdc.gov/hai/data/index.html</a>  </li><li>Siegel JD, Rinehart E, Jackson M, Chiarello L. Healthcare Infection Control Practices Advisory Committee. 2007 Guideline for isolation precautions: preventing transmission of infectious agents in healthcare settings. 2007. Last update July 2019. <a href=\\\"https://www.cdc.gov/infectioncontrol/guidelines/isolation/index.html\\\">https://www.cdc.gov/infectioncontrol/guidelines/isolation/index.html</a></li><li>Christensen BE, Fagan RP. Healthcare Settings. In: Rasmussen SA, Goodman RA, eds. The CDC Field Epidemiology Manual. US Department of Health and Human Services Centers for Disease Control and Prevention (CDC); 2018:chap 18. <a href=\\\"https://www.cdc.gov/eis/field-epimanual/chapters/Healthcare-Settings.html\\\">https://www.cdc.gov/eis/field-epimanual/chapters/Healthcare-Settings.html</a>  </li><li>Centers for Disease Control and Prevention (CDC). Antibiotic/Antimicrobial Resistance (AR/AMR): About antimicrobial resistance. <a href=\\\"https://www.cdc.gov/drugresistance/about.html\\\">https://www.cdc.gov/drugresistance/about.html</a> </li><li>Currie K, Melone L, Stewart S, et al. Understanding the patient experience of health care– associated infection: A qualitative systematic review. Am J Infect Control. 2018;46(8):936-942. doi: 10.1016/j.ajic.2017.11.023  </li><li>National Quality Forum (NQF). Glossary of terms. <a href=\\\"www.qualityforum.org/Measuring_Performance/Submitting_Standards/NQF_Glossary.aspx\\\">www.qualityforum.org/Measuring_Performance/Submitting_Standards/NQF_Glossary.aspx</a>   </li><li>Centers for Medicare and Medicaid Services (CMS). Quality, safety &amp; oversight — certification &amp; compliance. <a href=\\\"https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/CertificationandComplianc\\\">https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/CertificationandComplianc</a> </li><li>Centers for Medicare and Medicaid Services (CMS). Glossary. <a href=\\\"https://www.medicare.gov/glossary\\\">https://www.medicare.gov/glossary</a> </li><li>McDermott KW, Elixhauser A, Sun R. Trends in hospital inpatient stays in the United States, 2005-2014. Agency for Healthcare Research and Quality Cost and Utilization Project (HCUP). Statistical Brief #225. <a href=\\\"https://www.hcup-us.ahrq.gov/reports/statbriefs/sb225-Inpatient-USStaysTrends.jsp?utm_source=ahrq&amp;utm_medium=en1&amp;utm_term=&amp;utm_content=1&amp;utm_campaign=ahrq_en7_18_2017\\\">https://www.hcup-us.ahrq.gov/reports/statbriefs/sb225-Inpatient-USStaysTrends.jsp?utm_source=ahrq&amp;utm_medium=en1&amp;utm_term=&amp;utm_content=1&amp;utm_campaign=ahrq_en7_18_2017</a> </li><li>Kc A, Schaefer MK, Stone ND, Perz J. Characterizing healthcare delivery in the United States using Census Bureau\'s County Business Patterns (2000-2016). Infect Control Hosp Epidemiol. 2020;41(6):723-728. doi: 10.1017/ice.2020.78. </li><li>Dentler J. Outpatient migration: 6 trends and developments. Becker\'s Hospital Review 2018 May 21. <a href=\\\"https://www.beckershospitalreview.com/hospital-management-administration/outpatientmigration-6-trends-and-developments.html\\\">https://www.beckershospitalreview.com/hospital-management-administration/outpatientmigration-6-trends-and-developments.html</a></li><li>Centers for Disease Control and Prevention (CDC). Yellow Book 2020: Health Information for International Travel. Chapter 9: Travel for work &amp; other reasons. <a href=\\\"https://wwwnc.cdc.gov/travel/yellowbook/2020/travel-for-work-other-reasons/medicaltourism\\\">https://wwwnc.cdc.gov/travel/yellowbook/2020/travel-for-work-other-reasons/medicaltourism</a></li><li>Bartles R, Dickson A, Babade O. A systematic approach to quantifying infection prevention staffing and coverage needs. Am J Infect Control. 2018;46(5):487-491. doi: 10.1016/j.ajic.2017.11.006</li><li>Pogorzelska-Maziarz M, Gilmartin H, Reese S. Infection prevention staffing and resources in U.S. acute care hospitals: Results from the APIC MegaSurvey. Am J Infect Control. 2018;48(8):852- 857. doi: 10.1016/j.ajic.2018.04.202 </li><li>Centers for Medicare and Medicaid Services (CMS). Memo: Specialized infection prevention and control training for nursing home staff in the long-term care setting is now available, March 11, 2019. <a href=\\\"https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-RegionsItems/QSO19-10-NH\\\">https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-RegionsItems/QSO19-10-NH</a></li><li>Langmuir A. The surveillance of communicable diseases of national importance. N Engl J Med 1963;268:182-192. doi: 10.1056/NEJM196301242680405 </li><li>World Health Organization (WHO) Regional Office for the Eastern Mediterranean. Public Health Surveillance. <a href=\\\"https://www.emro.who.int/health-topics/public-health-surveillance/index.html\\\">https://www.emro.who.int/health-topics/public-health-surveillance/index.html</a></li><li>Franklin SM, Crist MB, Perkins KM, Perz JF. Outbreak Response Capacity Assessments and Improvements Among Public Health Department Health Care–Associated Infection Programs— United States, 2015-2017. J Public Health Manag Pract. 2022; 28(2):116-125. doi: 10.1097/PHH.0000000000001148 </li><li>Centers for Disease Control and Prevention (CDC). National Healthcare Safety Network (NHSN): CMS requirements. <a href=\\\"https://www.cdc.gov/nhsn/cms/index.html\\\">https://www.cdc.gov/nhsn/cms/index.html</a> </li><li>Centers for Disease Control and Prevention (CDC). National Notifiable Diseases Surveillance System (NNDSS): Surveillance case definitions for current and historical conditions. <a href=\\\"https://ndc.services.cdc.gov/\\\">https://ndc.services.cdc.gov/</a> </li><li>Centers for Disease Control and Prevention (CDC). National Antimicrobial Resistance Monitoring System for Enteric Bacteria (NARMS). <a href=\\\"https://www.cdc.gov/narms/index.html\\\">https://www.cdc.gov/narms/index.html</a></li><li>Centers for Disease Control and Prevention (CDC). Lab Capacity in Action to Fight Antibiotic Resistance. <a href=\\\"https://www.cdc.gov/drugresistance/solutions-initiative/ar-lab-network.html\\\">https://www.cdc.gov/drugresistance/solutions-initiative/ar-lab-network.html</a> </li><li>Emori TG, Culver DH, Horan TC, et al. National nosocomial infections surveillance system (NNIS): Description of surveillance methods. Am J Infect Control. 1991;19(1):19-35. doi: 10.1016/0196- 6553(91)90157-8</li><li>Edwards JR, Peterson KD, Mu Y, et al. National Healthcare Safety Network (NHSN) report: Data summary for 2006 through 2008, issued December 2009. Am J Infect Control. 2009;37(10):783- 805. doi: 10.1016/j.ajic.2009.10.001 </li><li>Centers for Disease Control and Prevention (CDC). State-based HAI Prevention Activities: States with HAI Reporting Mandates. <a href=\\\"https://www.cdc.gov/HAI/state-based/required-to-report-haiNHSN.html\\\">https://www.cdc.gov/HAI/state-based/required-to-report-haiNHSN.html</a></li><li>Centers for Disease Control and Prevention (CDC). Current HAI progress report: 2020 National and State Healthcare-Associated Infections Progress Report. <a href=\\\"https://www.cdc.gov/hai/data/portal/progressreport.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fhai%2Fsurveillance%2Fprogres%20s-report%2Findex.html\\\">https://www.cdc.gov/hai/data/portal/progressreport.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fhai%2Fsurveillance%2Fprogres s-report%2Findex.html</a></li><li>Centers for Disease Control and Prevention (CDC). National Healthcare Safety Network (NHSN): About NHSN. <a href=\\\"https://www.cdc.gov/nhsn/about-nhsn/index.html\\\">https://www.cdc.gov/nhsn/about-nhsn/index.html</a> </li><li>Centers for Disease Control and Prevention (CDC). Antibiotic Resistance &amp; Patient Safety Portal. <a href=\\\"https://www.cdc.gov/hai/data/portal/AR-Patient-Safety-Portal.html\\\">https://www.cdc.gov/hai/data/portal/AR-Patient-Safety-Portal.html</a></li><li>World Health Organization (WHO) Regional Office for Europe. Guidance for sentinel influenza surveillance in humans. <a href=\\\"https://www.euro.who.int/__data/assets/pdf_file/0020/90443/E92738.pdf\\\">https://www.euro.who.int/__data/assets/pdf_file/0020/90443/E92738.pdf</a> </li><li>Jernigan DB, Kargacin L, Poole A, Kobayashi J. Sentinel surveillance as an alternative approach for monitoring antibiotic resistant invasive pneumococcal disease in Washington state. Am J Public Health. 2001;91(1):142-145. doi: 10.2105/ajph.91.1.142 </li><li>Smith GE, Elliot AJ, Lake I, et. al. Syndromic surveillance: two decades experience of sustainable systems — its people not just data! Epidemiol Infect. 2019;147: e101. doi: 10.1017/S0950268819000074 </li><li>Centers for Medicare &amp; Medicaid Services (CMS). Infection control breaches which warrant referral to public health authorities. May 30, 2014. Revised October 28, 2016. <a href=\\\"https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/SurveyCertificationGenInfo/Downloads/Survey-and-Cert-Letter-14-36.pdf\\\">https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/SurveyCertificationGenInfo/Downloads/Survey-and-Cert-Letter-14-36.pdf</a></li><li>Bagchi S, Watkins J, Pollock DA, Edwards JR, Allen-Bridson K. State health department validations of central line-associated bloodstream infection events reported via the National Healthcare Safety Network. Am J Infect Control. 2018;46(11):1290-1295. doi: 10.1016/j.ajic.2018.04.233 </li><li>Backman LA, Nobert G, Melchreit R, Fekieta R, Dembry LM. Validation of the surveillance and reporting of central line–associated bloodstream infection denominator data. Am J Infect Control. 2014;42(1):28-33. doi: 10.1016/j.ajic.2013.06.014 </li><li>Vannice K, Benoliel E, Kauber K. Notes from the Field: Clinical Klebsiella pneumoniae isolate with three carbapenem resistance genes associated with urology procedures ─ King County, Washington, 2018; MMWR Morb Mortal Wkly Rep. 2019;68(30):667-668. doi: 10.15585/mmwr.mm6830a4 </li><li>Ross KM, Mehr JS, Carothers BL, et al. Bacterial septic arthritis infections associated with intraarticular injection practices for osteoarthritis knee pain-New Jersey, 2017. Infect Control Hosp Epidemiol. 2019;40(9):1013-1018. doi: 10.1017/ice.2019.168 </li><li>Njuguna HN, Stinson D, Montgomery P, et al. Hepatitis C virus potentially transmitted by opioid drug diversion from a nurse — Washington, August 2017–March 2018. MMWR Morb Mortal Wkly Rep. 2019;68(16):374-376. doi: 10.15585/mmwr.mm6816a3 </li><li>Perkins KM, Reddy SC, Fagan R, Arduino MJ, Perz JF. Investigation of healthcare infection risks from water-related organisms: Summary of CDC consultations, 2014–2017. Infect Control Hosp Epidemiol. 2019;40(6):621-626. doi: 10.1017/ice.2019.60 </li><li>Nanduri SA, Metcalf BJ, Arwady MA, et al. Prolonged and large outbreak of invasive group A Streptococcus disease within a nursing home: repeated intrafacility transmission of a single strain. Clin Microbiol Infect. 2019;25(2):248.e1-248 .e7. doi: 10.1016/j.cmi.2018.04.034 </li><li>Peña SA, Davis SS, Lu X, et al. Severe respiratory illness associated with human metapneumovirus in nursing home, New Mexico, USA. Emerg Infect Dis. 2019; 25(2):383-384. doi: 10.3201/eid2502.181298</li><li>Epson EE, Pisney LM, Wendt JM, et al. Carbapenem-resistant Klebsiella pneumoniae-producing New Delhi metallo-β-lactamase at an acute care hospital, Colorado, 2012. Infect Control Hosp Epidemiol. 2014;35(4):390-397. doi: 10.1086/675607 </li><li>David S, Reuter S, Harris SR, et al. Epidemic of carbapenem-resistant Klebsiella pneumoniae in Europe is driven by nosocomial spread. Nature Microbiol. 2019;4(11):1919-1929. doi: 10.1038/s41564-019-0492-8 </li><li>Vallabhaneni S, Kallen A, Tsay S, et al. Investigation of the first seven reported cases of Candida auris, a globally emerging invasive, multidrug-resistant fungus ─ United States, May 2013-August 2016. Am J Transplant. 2017;17(1):296-299. doi: 10.1111/ajt.14121</li><li>Novosad SA, Lake J, Nguyen D, et al. Multicenter outbreak of Gram-negative bloodstream infections in hemodialysis patients. Am J Kidney Dis. 2019;74(5):610-619. doi: 10.1053/j.ajkd.2019.05.012 </li><li>Kutty PK, Forster TS, Wood-Koob C, et al. Multistate outbreak of toxic anterior segment syndrome, 2005. J Cataract Refract Surg. 2008;34(4):585-90. doi: 10.1016/j.jcrs.2007.11.037 </li><li>Centers for Disease Control and Prevention (CDC). Toxic anterior segment syndrome after cataract surgery ─ Maine, 2006. MMWR Morb Mortal Wkly Rep. 2007;56(25):629-630. </li><li>Martone WJ, Williams WW, Mortensen ML, et al. Illness with fatalities in premature infants: association with an intravenous vitamin E preparation, E-Ferol. Pediatrics. 1986;78(4):591-600. </li><li>Burwen DR, Olsen SM, Bland LA, Arduino MJ, Reid MH, Jarvis WR. Epidemic aluminum intoxication in hemodialysis patients traced to use of an aluminum pump. Kidney Int. 1995;48(2):469-74. doi: 10.1038/ki.1995.315 </li><li>Pearson ML, Levine WC, Finton RJ, et al. Anesthesia-associated carbon monoxide exposures among surgical patients. Infect Control Hosp Epidemiol. 2001;22(6):352-326. doi: 10.1086/501912 </li><li>OYong K, Coelho L, Bancroft E, Terashita D. Health care-associated infection outbreak investigations in outpatient settings, Los Angeles County, California, USA, 2000-2012. Emerg Infect Dis. 2015;21(8):1317-1321. doi: 10.3201/eid2108.141251 </li><li>Cheng VCC, Chen JHK, Wong SCY, et al. Hospital outbreak of pulmonary and cutaneous zygomycosis due to contaminated linen items from substandard laundry. Clin Infect Dis. 2016;62(6):714-721. doi: 10.1093/cid/civ1006 </li><li>Alroy-Preis S, Daly ER, Adamski C, et al. Large outbreak of Hepatitis C virus associated with drug diversion by a healthcare technician. Clin Infect Dis. 2018;67(6):845-853. doi: 10.1093/cid/ciy193 </li><li>Kainer MA, Reagan DR, Nguyen DB, et al. Fungal infections associated with contaminated methylprednisolone in Tennessee. N Engl J Med. 2012;367(23): 2194-2203. doi: 10.1056/NEJMoa1212972 </li><li>Mikosz CA, Smith RM, Kim M, et al. Fungal endophthalmitis associated with compounded products. Emerg Infect Dis. 2014;20(2):248-256. doi: 10.3201/eid2002.131257</li><li>Lyman MM, Grigg C, Kinsey CB, et al. Invasive Nontuberculous mycobacterial infections among cardiothoracic surgical patients exposed to heater-cooler devices. Emerg Infect Dis. 2017;23(5): 796-805. doi: 10.3201/eid2305.161899 </li><li>van Ingen J, Kohl TA, Kranzer K, et al. Global outbreak of severe Mycobacterium chimaera disease after cardiac surgery: a molecular epidemiological study. Lancet Infect Dis. 2017;17(10):1033-1041. doi: 10.1016/S1473-3099(17)30324-9 </li><li>Kracalik I, Ham C, Smith AR, et al. Notes from the Field: Verona Integron-encoded metallo-betalactamase–producing carbapenem-resistant Pseudomonas aeruginosa infections in U.S. residents associated with invasive medical procedures in Mexico, 2015–2018. MMWR Morb Mortal Wkly Rep. 2019;68(20):463-464. doi: 10.15585/mmwr.mm6820a4</li></ol>\", \"f394434c-cdd6-422c-857c-73fdb47ec55d\": \"Chapter References\"}',1,'2024-11-07 17:10:57','2024-11-07 17:10:57','0b268381-9b61-4c2f-8bbb-b7dedbb81d95'),(50135,49750,1,'2 - Fundamental Concepts','fundamental-concepts','chapters/fundamental-concepts','{\"0c9be173-318a-42f5-b27d-86204f3dfa65\": \"Fundamental Concepts\", \"5059a5bd-76ce-45e0-9a4b-8fac72d03c10\": {\"score\": \"neutral\", \"social\": {\"twitter\": {\"title\": [], \"handle\": \"\", \"imageId\": null, \"description\": []}, \"facebook\": {\"title\": [], \"handle\": \"\", \"imageId\": null, \"description\": []}}, \"advanced\": {\"robots\": [], \"canonical\": null}, \"keywords\": [], \"titleRaw\": [], \"descriptionRaw\": \"\"}, \"68c04e47-b499-4e50-88f0-a409394e673e\": 2, \"962072b8-a4f7-4d15-86ee-09f0382a2b5f\": [46158], \"ee09d78e-63c3-4bdf-aaf4-4c05789851fb\": \"Chapter Two\"}',1,'2024-11-07 17:11:24','2024-11-07 17:11:24','5361a418-b5dc-42cd-b139-13bf9a597474'),(50137,49752,1,'Chapter Home Image_Planning and Preparation',NULL,NULL,NULL,1,'2024-11-07 17:13:24','2024-12-03 01:47:25','7538397e-875e-483e-a5c7-e9346dbb7cb8'),(50138,49752,2,'Planning Preparation',NULL,NULL,NULL,1,'2024-11-07 17:13:24','2024-11-07 17:13:24','b682c7dd-17ec-4bcd-9e50-6ba3fb2ee684'),(50139,49753,1,'Header Image_Planning and Preparation',NULL,NULL,NULL,1,'2024-11-07 17:13:37','2024-12-03 01:47:05','56020b46-4ac2-4575-8177-a01441ba973a'),(50140,49753,2,'Planning Preparation',NULL,NULL,NULL,1,'2024-11-07 17:13:38','2024-11-07 17:13:38','7ff8ded1-10ad-45e2-8696-7c34b168b477'),(50142,49755,1,'3 - Planning & Preparation','planning-preparation','chapters/planning-preparation','{\"0c9be173-318a-42f5-b27d-86204f3dfa65\": \"Planning & Preparation\", \"5059a5bd-76ce-45e0-9a4b-8fac72d03c10\": {\"score\": \"neutral\", \"social\": {\"twitter\": {\"title\": [], \"handle\": \"\", \"imageId\": null, \"description\": []}, \"facebook\": {\"title\": [], \"handle\": \"\", \"imageId\": null, \"description\": []}}, \"advanced\": {\"robots\": [], \"canonical\": null}, \"keywords\": [], \"titleRaw\": [], \"descriptionRaw\": \"\"}, \"68c04e47-b499-4e50-88f0-a409394e673e\": 3, \"962072b8-a4f7-4d15-86ee-09f0382a2b5f\": [49752], \"ee09d78e-63c3-4bdf-aaf4-4c05789851fb\": \"Chapter Three\"}',1,'2024-11-07 17:13:47','2024-11-07 17:13:47','ec7c9f75-8d10-4ab4-abb4-65a4df939bb0'),(50143,49756,1,NULL,'__temp_rgjfcjgivkkfbvvdjojwocgwobjbrpshscrg',NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p>Learn about agency roles, team structures, and tips for organizing, managing, and optimizing response activities.</p>\", \"8e258b49-53ff-4566-8088-a5161e4a62cc\": \"Planning & Preparation\", \"b691f1c7-ad7d-4a8b-a9fa-b4feec58e073\": [49753]}',1,'2024-11-07 17:13:48','2024-11-07 17:13:48','aed9d444-3b97-4e52-a20b-0b8686ed75a1'),(50144,49757,1,'2 - Fundamental Concepts','fundamental-concepts','chapters/fundamental-concepts','{\"0c9be173-318a-42f5-b27d-86204f3dfa65\": \"Fundamental Concepts\", \"5059a5bd-76ce-45e0-9a4b-8fac72d03c10\": {\"score\": \"neutral\", \"social\": {\"twitter\": {\"title\": [], \"handle\": \"\", \"imageId\": null, \"description\": []}, \"facebook\": {\"title\": [], \"handle\": \"\", \"imageId\": null, \"description\": []}}, \"advanced\": {\"robots\": [], \"canonical\": null}, \"keywords\": [], \"titleRaw\": [], \"descriptionRaw\": \"\"}, \"68c04e47-b499-4e50-88f0-a409394e673e\": 2, \"962072b8-a4f7-4d15-86ee-09f0382a2b5f\": [49712], \"ee09d78e-63c3-4bdf-aaf4-4c05789851fb\": \"Chapter Two\"}',1,'2024-11-07 17:15:05','2024-11-07 17:15:05','77518439-0d11-4ba6-ba8a-8dd14fefa2d9'),(50145,49758,1,NULL,'__temp_uzoucsvhhrzyjqqombpthfudczbtgaxzrgay',NULL,'{\"0f72865d-fe3e-4163-918f-27e7c84781c3\": \"<p>Learn basic concepts and trends in healthcare delivery, HAI/AR surveillance, outbreak detection, and response.</p>\", \"8e258b49-53ff-4566-8088-a5161e4a62cc\": \"Fundamental Concepts\", \"b691f1c7-ad7d-4a8b-a9fa-b4feec58e073\": [49624]}',1,'2024-11-07 17:15:05','2024-11-07 17:15:05','1a9367bc-49e2-4b30-ab69-9a8c34042f92'),(50146,49759,1,NULL,'__temp_eoacrtyvzmbfchquvzyrzxrvwhwdsvqqpeer',NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For infection prevention specialists\", \"a60e2dbd-d1d4-4923-b727-5371a91e9c7b\": [5630], \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for epidemiologists\"}',1,'2024-11-07 17:15:05','2024-11-07 17:15:05','6651c5d3-43dc-494d-b02b-0c53bb72849c'),(50147,49760,1,NULL,'__temp_qeltmaysthbvpssbkkdkvucmabkcbavviiub',NULL,'{\"a48729ab-e8ea-4b7f-a871-7ece2b6c639a\": \"For health departments & healthcare facilities\", \"a60e2dbd-d1d4-4923-b727-5371a91e9c7b\": [5633], \"e6ff6d22-2545-4632-893e-5feb543677a2\": \"Also useful for associated specialists\"}',1,'2024-11-07 17:15:05','2024-11-07 17:15:05','a666d17b-d337-477d-b98f-011d30791c2b'),(50148,49761,1,NULL,'__temp_sihrpsoxsgefedkvviponhmikrxoarfykscr',NULL,NULL,1,'2024-11-07 17:15:05','2024-11-07 17:15:05','c02abe04-81ad-474e-9e1f-b9d8846e1aa1'),(50149,49762,1,NULL,'__temp_gkfpjxoiqhimxggmufjvhqnfzxsegjqjbetn',NULL,'{\"4ef0d8f2-6c32-41b6-8648-80abbba8adaf\": {\"date\": \"2024-06-30 07:00:00\"}, \"ce38096b-1714-4d43-ae46-d75b6150ba1a\": {\"date\": \"2024-06-30 07:00:00\"}}',1,'2024-11-07 17:15:05','2024-11-07 17:15:05','b654064c-fee1-46a4-b45c-7adcc38037bc'),(50150,49763,1,NULL,'__temp_selqraxpxgpjwdfsilwyzxugzatmmmtrmbwn',NULL,'{\"5f0c45eb-042d-443c-a5d0-fcf6ac49b0d0\": [45544]}',1,'2024-11-07 17:15:05','2024-11-07 17:15:05','f0f170fb-67d6-4a06-8ff5-7b1c8a40bad1'),(50151,49764,1,NULL,NULL,NULL,NULL,1,'2024-11-07 17:15:05','2024-11-07 17:15:05','9e8ac515-66aa-4ffe-a045-d1a0e2d75b7b'),(50152,49765,1,NULL,'__temp_oiafbbxgbniwzxmofapotgjvjzrsxmrjsurr',NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h2>Chapter Summary</h2><p>In Chapter 2, Fundamental Concepts, we review concepts related to healthcare and public health surveillance as well as trends in outbreak detection and response. </p><p>As healthcare-associated infection and antimicrobial resistance (HAI/AR) surveillance improves and outbreaks are recognized earlier, the public health and healthcare communities are better positioned to reduce patient harm from HAIs, AR pathogens, and healthcare outbreaks. </p><p>The ultimate goal of healthcare outbreak response is to rapidly detect and respond to potential outbreaks, ensuring that any unsafe practices are discovered and corrected before further harm can occur.</p><p>The chapter contains information on: </p><ul><li>Healthcare settings investigators may encounter as part of an HAI/AR outbreak response </li><li>Changes to healthcare delivery, regulations, funding, and public health capacity over time that have impacted HAI/AR surveillance practices and outbreak response activities</li><li>Trends in surveillance, including descriptions of systems used to identify potential outbreaks as well as types of outbreaks and other events to which public health routinely responds<strong> </strong></li></ul>\"}',1,'2024-11-07 17:15:05','2024-11-07 17:15:05','1287b9f0-4d8f-4ed9-9386-20d6f48e7481'),(50153,49766,1,NULL,NULL,NULL,NULL,1,'2024-11-07 17:15:05','2024-11-07 17:15:05','a3f071f9-ae40-4236-9fd4-8e57b16f57d4'),(50154,49767,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Introduction</h3>\"}',1,'2024-11-07 17:15:05','2024-11-07 17:15:05','71cf8664-0861-44c6-b7c6-6be9946c1afe'),(50155,49768,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What are the general roles and responsibilities of various agencies during an outbreak?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-11-07 17:15:05','2024-11-07 17:15:05','05f11181-c7b0-4ac9-a809-1488c89b910d'),(50156,49769,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What individual roles should the outbreak response team consist of, and what are their responsibilities?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-11-07 17:15:05','2024-11-07 17:15:05','a6d42990-f4e7-473c-845a-0a242ba97d05'),(50157,49770,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What equipment, supplies, documents, toolkits, and other resources should a response team have?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-11-07 17:15:05','2024-11-07 17:15:05','4900427a-b4c9-4125-b335-7ef571c7ac01'),(50158,49771,1,NULL,NULL,NULL,NULL,1,'2024-11-07 17:15:05','2024-11-07 17:15:05','6ce932ff-c8d4-4826-8a78-4c548787e3f4'),(50159,49772,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Protocol &amp; Responsibilities</h3>\"}',1,'2024-11-07 17:15:05','2024-11-07 17:15:05','900d307e-a55b-4076-88e2-bd5f40f5b211'),(50160,49773,1,NULL,'__temp_wwuzwabkhvorcsjufvnkxszoatptxljtxtxt',NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What communication needs should an outbreak response team be prepared for?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-11-07 17:15:05','2024-11-07 17:15:05','99b6d4d8-0733-4f74-b692-0212187861e0'),(50161,49774,1,NULL,'__temp_rxkghzlplhxxolygneaqhcszcspjtdosahqw',NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How should an outbreak response team manage their records?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-11-07 17:15:05','2024-11-07 17:15:05','0976e708-6268-4b19-8912-1cb1a08bd6d5'),(50162,49775,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"When should an outbreak response team ask for help, and who can provide it?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-11-07 17:15:05','2024-11-07 17:15:05','567d7a7e-15b0-4426-9f01-6c2dd2a8bf15'),(50163,49776,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What is an incident command center?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-11-07 17:15:05','2024-11-07 17:15:05','9693673b-e1d8-4ee2-be0a-a3f8108e9b6b'),(50164,49777,1,NULL,NULL,NULL,NULL,1,'2024-11-07 17:15:05','2024-11-07 17:15:05','53bfa312-e923-4506-8f14-f28a53efdf73'),(50165,49778,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>Additional Topics</h3>\"}',1,'2024-11-07 17:15:05','2024-11-07 17:15:05','8533662b-71ad-4051-9100-01ce1cb25e3b'),(50166,49779,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"What other legal, ethical, or privacy concerns should be considered?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-11-07 17:15:05','2024-11-07 17:15:05','a9610992-2cf2-4bf9-ab69-292ab1907e9e'),(50167,49780,1,NULL,NULL,NULL,'{\"209d1b3f-bacb-40ce-abd0-d60b14d7d09f\": \"How can an outbreak response team plan for recovery and follow up?\", \"52169a58-6acc-41b7-85e5-d98a2a750451\": \"<p>Since states organize their governmental public health systems in diverse ways, the relative roles of local  and state health departments will vary. In states where governance is centralized, responsibility for conducting outbreak investigations rests primarily with state health departments. Conversely, in jurisdictions where governance is decentralized (“home rule” states), this responsibility may rest primarily with the local health department.</p>\"}',1,'2024-11-07 17:15:05','2024-11-07 17:15:05','0d5e6789-8767-4e23-8a9d-ce7130e08d77'),(50168,49781,1,NULL,NULL,NULL,NULL,1,'2024-11-07 17:15:05','2024-11-07 17:15:05','bda8df1b-2de2-4849-aac9-c1ab28084a4d'),(50169,49782,1,NULL,'__temp_xolszmsyzjbyrhayzgedgrzvaflbdemscyru',NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<p>As advances occur in outbreak protocols, this guidance document will be updated. Previous changes can be tracked below:</p><ul><li>2nd Edition – Published June 2024</li><li>1st Edition – Published October 2022</li><li>URLs in this document are valid as of April 29, 2024.</li></ul>\", \"f394434c-cdd6-422c-857c-73fdb47ec55d\": \"Change Log\"}',1,'2024-11-07 17:15:05','2024-11-07 17:15:05','ed470e2b-057e-4430-9cc5-321aadedd56e'),(50170,49783,1,NULL,NULL,NULL,NULL,1,'2024-11-07 17:15:05','2024-11-07 17:15:05','9a8caf8d-8b9b-43eb-846f-c535ecae4411'),(50171,49784,1,NULL,NULL,NULL,'{\"c9374286-f051-4a4a-a20b-da25d3c319ff\": \"<h3>January 5, 2024</h3><ul><li><strong>Added</strong> lorem ipsum dolor sit amet, consectetur adipiscing elit. </li><li><strong>Added</strong> etiam vulputate tincidunt vestibulum. </li><li><strong>Removed</strong> nulla semper est sem. </li><li><strong>Updated</strong> in nec sollicitudin nisi, eget viverra lectus. Phasellus at leo varius eros suscipit varius sit amet ut nisi. Cras sit amet ullamcorper erat. Vestibulum pretium luctus justo, at volutpat odio finibus nec. </li><li><strong>Removed</strong> praesent volutpat diam et vestibulum malesuada. Aenean cursus nibh a odio vehicula sodales. 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Last update July 2019. <a href=\\\"https://www.cdc.gov/infectioncontrol/guidelines/isolation/index.html\\\">https://www.cdc.gov/infectioncontrol/guidelines/isolation/index.html</a></li><li>Christensen BE, Fagan RP. Healthcare Settings. In: Rasmussen SA, Goodman RA, eds. The CDC Field Epidemiology Manual. US Department of Health and Human Services Centers for Disease Control and Prevention (CDC); 2018:chap 18. <a href=\\\"https://www.cdc.gov/eis/field-epimanual/chapters/Healthcare-Settings.html\\\">https://www.cdc.gov/eis/field-epimanual/chapters/Healthcare-Settings.html</a>  </li><li>Centers for Disease Control and Prevention (CDC). Antibiotic/Antimicrobial Resistance (AR/AMR): About antimicrobial resistance. <a href=\\\"https://www.cdc.gov/drugresistance/about.html\\\">https://www.cdc.gov/drugresistance/about.html</a> </li><li>Currie K, Melone L, Stewart S, et al. Understanding the patient experience of health care– associated infection: A qualitative systematic review. Am J Infect Control. 2018;46(8):936-942. doi: 10.1016/j.ajic.2017.11.023  </li><li>National Quality Forum (NQF). Glossary of terms. <a href=\\\"www.qualityforum.org/Measuring_Performance/Submitting_Standards/NQF_Glossary.aspx\\\">www.qualityforum.org/Measuring_Performance/Submitting_Standards/NQF_Glossary.aspx</a>   </li><li>Centers for Medicare and Medicaid Services (CMS). Quality, safety &amp; oversight — certification &amp; compliance. <a href=\\\"https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/CertificationandComplianc\\\">https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/CertificationandComplianc</a> </li><li>Centers for Medicare and Medicaid Services (CMS). Glossary. <a href=\\\"https://www.medicare.gov/glossary\\\">https://www.medicare.gov/glossary</a> </li><li>McDermott KW, Elixhauser A, Sun R. Trends in hospital inpatient stays in the United States, 2005-2014. Agency for Healthcare Research and Quality Cost and Utilization Project (HCUP). Statistical Brief #225. <a href=\\\"https://www.hcup-us.ahrq.gov/reports/statbriefs/sb225-Inpatient-USStaysTrends.jsp?utm_source=ahrq&amp;utm_medium=en1&amp;utm_term=&amp;utm_content=1&amp;utm_campaign=ahrq_en7_18_2017\\\">https://www.hcup-us.ahrq.gov/reports/statbriefs/sb225-Inpatient-USStaysTrends.jsp?utm_source=ahrq&amp;utm_medium=en1&amp;utm_term=&amp;utm_content=1&amp;utm_campaign=ahrq_en7_18_2017</a> </li><li>Kc A, Schaefer MK, Stone ND, Perz J. Characterizing healthcare delivery in the United States using Census Bureau\'s County Business Patterns (2000-2016). Infect Control Hosp Epidemiol. 2020;41(6):723-728. doi: 10.1017/ice.2020.78. </li><li>Dentler J. Outpatient migration: 6 trends and developments. Becker\'s Hospital Review 2018 May 21. <a href=\\\"https://www.beckershospitalreview.com/hospital-management-administration/outpatientmigration-6-trends-and-developments.html\\\">https://www.beckershospitalreview.com/hospital-management-administration/outpatientmigration-6-trends-and-developments.html</a></li><li>Centers for Disease Control and Prevention (CDC). Yellow Book 2020: Health Information for International Travel. Chapter 9: Travel for work &amp; other reasons. <a href=\\\"https://wwwnc.cdc.gov/travel/yellowbook/2020/travel-for-work-other-reasons/medicaltourism\\\">https://wwwnc.cdc.gov/travel/yellowbook/2020/travel-for-work-other-reasons/medicaltourism</a></li><li>Bartles R, Dickson A, Babade O. A systematic approach to quantifying infection prevention staffing and coverage needs. Am J Infect Control. 2018;46(5):487-491. doi: 10.1016/j.ajic.2017.11.006</li><li>Pogorzelska-Maziarz M, Gilmartin H, Reese S. Infection prevention staffing and resources in U.S. acute care hospitals: Results from the APIC MegaSurvey. Am J Infect Control. 2018;48(8):852- 857. doi: 10.1016/j.ajic.2018.04.202 </li><li>Centers for Medicare and Medicaid Services (CMS). Memo: Specialized infection prevention and control training for nursing home staff in the long-term care setting is now available, March 11, 2019. <a href=\\\"https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-RegionsItems/QSO19-10-NH\\\">https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-RegionsItems/QSO19-10-NH</a></li><li>Langmuir A. The surveillance of communicable diseases of national importance. N Engl J Med 1963;268:182-192. doi: 10.1056/NEJM196301242680405 </li><li>World Health Organization (WHO) Regional Office for the Eastern Mediterranean. Public Health Surveillance. <a href=\\\"https://www.emro.who.int/health-topics/public-health-surveillance/index.html\\\">https://www.emro.who.int/health-topics/public-health-surveillance/index.html</a></li><li>Franklin SM, Crist MB, Perkins KM, Perz JF. Outbreak Response Capacity Assessments and Improvements Among Public Health Department Health Care–Associated Infection Programs— United States, 2015-2017. J Public Health Manag Pract. 2022; 28(2):116-125. doi: 10.1097/PHH.0000000000001148 </li><li>Centers for Disease Control and Prevention (CDC). National Healthcare Safety Network (NHSN): CMS requirements. <a href=\\\"https://www.cdc.gov/nhsn/cms/index.html\\\">https://www.cdc.gov/nhsn/cms/index.html</a> </li><li>Centers for Disease Control and Prevention (CDC). National Notifiable Diseases Surveillance System (NNDSS): Surveillance case definitions for current and historical conditions. <a href=\\\"https://ndc.services.cdc.gov/\\\">https://ndc.services.cdc.gov/</a> </li><li>Centers for Disease Control and Prevention (CDC). National Antimicrobial Resistance Monitoring System for Enteric Bacteria (NARMS). <a href=\\\"https://www.cdc.gov/narms/index.html\\\">https://www.cdc.gov/narms/index.html</a></li><li>Centers for Disease Control and Prevention (CDC). Lab Capacity in Action to Fight Antibiotic Resistance. <a href=\\\"https://www.cdc.gov/drugresistance/solutions-initiative/ar-lab-network.html\\\">https://www.cdc.gov/drugresistance/solutions-initiative/ar-lab-network.html</a> </li><li>Emori TG, Culver DH, Horan TC, et al. National nosocomial infections surveillance system (NNIS): Description of surveillance methods. Am J Infect Control. 1991;19(1):19-35. doi: 10.1016/0196- 6553(91)90157-8</li><li>Edwards JR, Peterson KD, Mu Y, et al. National Healthcare Safety Network (NHSN) report: Data summary for 2006 through 2008, issued December 2009. Am J Infect Control. 2009;37(10):783- 805. doi: 10.1016/j.ajic.2009.10.001 </li><li>Centers for Disease Control and Prevention (CDC). State-based HAI Prevention Activities: States with HAI Reporting Mandates. <a href=\\\"https://www.cdc.gov/HAI/state-based/required-to-report-haiNHSN.html\\\">https://www.cdc.gov/HAI/state-based/required-to-report-haiNHSN.html</a></li><li>Centers for Disease Control and Prevention (CDC). Current HAI progress report: 2020 National and State Healthcare-Associated Infections Progress Report. <a href=\\\"https://www.cdc.gov/hai/data/portal/progressreport.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fhai%2Fsurveillance%2Fprogres%20s-report%2Findex.html\\\">https://www.cdc.gov/hai/data/portal/progressreport.html?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Fhai%2Fsurveillance%2Fprogres s-report%2Findex.html</a></li><li>Centers for Disease Control and Prevention (CDC). National Healthcare Safety Network (NHSN): About NHSN. <a href=\\\"https://www.cdc.gov/nhsn/about-nhsn/index.html\\\">https://www.cdc.gov/nhsn/about-nhsn/index.html</a> </li><li>Centers for Disease Control and Prevention (CDC). Antibiotic Resistance &amp; Patient Safety Portal. <a href=\\\"https://www.cdc.gov/hai/data/portal/AR-Patient-Safety-Portal.html\\\">https://www.cdc.gov/hai/data/portal/AR-Patient-Safety-Portal.html</a></li><li>World Health Organization (WHO) Regional Office for Europe. Guidance for sentinel influenza surveillance in humans. <a href=\\\"https://www.euro.who.int/__data/assets/pdf_file/0020/90443/E92738.pdf\\\">https://www.euro.who.int/__data/assets/pdf_file/0020/90443/E92738.pdf</a> </li><li>Jernigan DB, Kargacin L, Poole A, Kobayashi J. Sentinel surveillance as an alternative approach for monitoring antibiotic resistant invasive pneumococcal disease in Washington state. Am J Public Health. 2001;91(1):142-145. doi: 10.2105/ajph.91.1.142 </li><li>Smith GE, Elliot AJ, Lake I, et. al. Syndromic surveillance: two decades experience of sustainable systems — its people not just data! Epidemiol Infect. 2019;147: e101. doi: 10.1017/S0950268819000074 </li><li>Centers for Medicare &amp; Medicaid Services (CMS). Infection control breaches which warrant referral to public health authorities. May 30, 2014. Revised October 28, 2016. <a href=\\\"https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/SurveyCertificationGenInfo/Downloads/Survey-and-Cert-Letter-14-36.pdf\\\">https://www.cms.gov/Medicare/Provider-Enrollment-andCertification/SurveyCertificationGenInfo/Downloads/Survey-and-Cert-Letter-14-36.pdf</a></li><li>Bagchi S, Watkins J, Pollock DA, Edwards JR, Allen-Bridson K. State health department validations of central line-associated bloodstream infection events reported via the National Healthcare Safety Network. Am J Infect Control. 2018;46(11):1290-1295. doi: 10.1016/j.ajic.2018.04.233 </li><li>Backman LA, Nobert G, Melchreit R, Fekieta R, Dembry LM. Validation of the surveillance and reporting of central line–associated bloodstream infection denominator data. Am J Infect Control. 2014;42(1):28-33. doi: 10.1016/j.ajic.2013.06.014 </li><li>Vannice K, Benoliel E, Kauber K. Notes from the Field: Clinical Klebsiella pneumoniae isolate with three carbapenem resistance genes associated with urology procedures ─ King County, Washington, 2018; MMWR Morb Mortal Wkly Rep. 2019;68(30):667-668. doi: 10.15585/mmwr.mm6830a4 </li><li>Ross KM, Mehr JS, Carothers BL, et al. Bacterial septic arthritis infections associated with intraarticular injection practices for osteoarthritis knee pain-New Jersey, 2017. Infect Control Hosp Epidemiol. 2019;40(9):1013-1018. doi: 10.1017/ice.2019.168 </li><li>Njuguna HN, Stinson D, Montgomery P, et al. Hepatitis C virus potentially transmitted by opioid drug diversion from a nurse — Washington, August 2017–March 2018. MMWR Morb Mortal Wkly Rep. 2019;68(16):374-376. doi: 10.15585/mmwr.mm6816a3 </li><li>Perkins KM, Reddy SC, Fagan R, Arduino MJ, Perz JF. Investigation of healthcare infection risks from water-related organisms: Summary of CDC consultations, 2014–2017. Infect Control Hosp Epidemiol. 2019;40(6):621-626. doi: 10.1017/ice.2019.60 </li><li>Nanduri SA, Metcalf BJ, Arwady MA, et al. Prolonged and large outbreak of invasive group A Streptococcus disease within a nursing home: repeated intrafacility transmission of a single strain. Clin Microbiol Infect. 2019;25(2):248.e1-248 .e7. doi: 10.1016/j.cmi.2018.04.034 </li><li>Peña SA, Davis SS, Lu X, et al. Severe respiratory illness associated with human metapneumovirus in nursing home, New Mexico, USA. Emerg Infect Dis. 2019; 25(2):383-384. doi: 10.3201/eid2502.181298</li><li>Epson EE, Pisney LM, Wendt JM, et al. Carbapenem-resistant Klebsiella pneumoniae-producing New Delhi metallo-β-lactamase at an acute care hospital, Colorado, 2012. Infect Control Hosp Epidemiol. 2014;35(4):390-397. doi: 10.1086/675607 </li><li>David S, Reuter S, Harris SR, et al. Epidemic of carbapenem-resistant Klebsiella pneumoniae in Europe is driven by nosocomial spread. Nature Microbiol. 2019;4(11):1919-1929. doi: 10.1038/s41564-019-0492-8 </li><li>Vallabhaneni S, Kallen A, Tsay S, et al. Investigation of the first seven reported cases of Candida auris, a globally emerging invasive, multidrug-resistant fungus ─ United States, May 2013-August 2016. Am J Transplant. 2017;17(1):296-299. doi: 10.1111/ajt.14121</li><li>Novosad SA, Lake J, Nguyen D, et al. Multicenter outbreak of Gram-negative bloodstream infections in hemodialysis patients. Am J Kidney Dis. 2019;74(5):610-619. doi: 10.1053/j.ajkd.2019.05.012 </li><li>Kutty PK, Forster TS, Wood-Koob C, et al. Multistate outbreak of toxic anterior segment syndrome, 2005. J Cataract Refract Surg. 2008;34(4):585-90. doi: 10.1016/j.jcrs.2007.11.037 </li><li>Centers for Disease Control and Prevention (CDC). Toxic anterior segment syndrome after cataract surgery ─ Maine, 2006. MMWR Morb Mortal Wkly Rep. 2007;56(25):629-630. </li><li>Martone WJ, Williams WW, Mortensen ML, et al. Illness with fatalities in premature infants: association with an intravenous vitamin E preparation, E-Ferol. Pediatrics. 1986;78(4):591-600. </li><li>Burwen DR, Olsen SM, Bland LA, Arduino MJ, Reid MH, Jarvis WR. Epidemic aluminum intoxication in hemodialysis patients traced to use of an aluminum pump. Kidney Int. 1995;48(2):469-74. doi: 10.1038/ki.1995.315 </li><li>Pearson ML, Levine WC, Finton RJ, et al. Anesthesia-associated carbon monoxide exposures among surgical patients. Infect Control Hosp Epidemiol. 2001;22(6):352-326. doi: 10.1086/501912 </li><li>OYong K, Coelho L, Bancroft E, Terashita D. Health care-associated infection outbreak investigations in outpatient settings, Los Angeles County, California, USA, 2000-2012. Emerg Infect Dis. 2015;21(8):1317-1321. doi: 10.3201/eid2108.141251 </li><li>Cheng VCC, Chen JHK, Wong SCY, et al. Hospital outbreak of pulmonary and cutaneous zygomycosis due to contaminated linen items from substandard laundry. Clin Infect Dis. 2016;62(6):714-721. doi: 10.1093/cid/civ1006 </li><li>Alroy-Preis S, Daly ER, Adamski C, et al. Large outbreak of Hepatitis C virus associated with drug diversion by a healthcare technician. Clin Infect Dis. 2018;67(6):845-853. doi: 10.1093/cid/ciy193 </li><li>Kainer MA, Reagan DR, Nguyen DB, et al. Fungal infections associated with contaminated methylprednisolone in Tennessee. N Engl J Med. 2012;367(23): 2194-2203. doi: 10.1056/NEJMoa1212972 </li><li>Mikosz CA, Smith RM, Kim M, et al. Fungal endophthalmitis associated with compounded products. Emerg Infect Dis. 2014;20(2):248-256. doi: 10.3201/eid2002.131257</li><li>Lyman MM, Grigg C, Kinsey CB, et al. Invasive Nontuberculous mycobacterial infections among cardiothoracic surgical patients exposed to heater-cooler devices. Emerg Infect Dis. 2017;23(5): 796-805. doi: 10.3201/eid2305.161899 </li><li>van Ingen J, Kohl TA, Kranzer K, et al. Global outbreak of severe Mycobacterium chimaera disease after cardiac surgery: a molecular epidemiological study. Lancet Infect Dis. 2017;17(10):1033-1041. doi: 10.1016/S1473-3099(17)30324-9 </li><li>Kracalik I, Ham C, Smith AR, et al. Notes from the Field: Verona Integron-encoded metallo-betalactamase–producing carbapenem-resistant Pseudomonas aeruginosa infections in U.S. residents associated with invasive medical procedures in Mexico, 2015–2018. 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